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GRACE RECOVERY AND WELLNESS LLC NPI 1881157329


NPI Information

NPI: 1881157329
Provider Name: GRACE RECOVERY AND WELLNESS LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 15D2292438

Address:
1400 BROADWAY ST
ANDERSON, IN
ZIP 46012
Phone: (888) 228-5485
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GRACE RECOVERY AND WELLNESS LLC is a substance abuse rehabilitation facility in Anderson, IN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GRACE RECOVERY AND WELLNESS LLC NPI is 1881157329. The provider is registered as an organization entity type.

The provider's business location address is:

1400 BROADWAY ST
ANDERSON, IN
ZIP 46012-535
Phone: (888) 228-5485
Fax: (765) 393-2563

The provider's authorized official is Robert Slack .
The authorized official title is Director Of It and has the following contact phone number (888) 228-5485.

The CLIA number assigned to this NPI record is 15D2292438 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2019 and was last updated on 2/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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