National Provider Identifier Database

ELITE RECOVERY CENTER LLC
Health Service


Contact Information

ELITE RECOVERY CENTER LLC
917 E SHERIDAN ST
PHOENIX, AZ85006-1627
Phone: 202-375-8194
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for ELITE RECOVERY CENTER LLC

NPI Number 1487346870
Legal business name
LBN
ELITE RECOVERY CENTER LLC
Authorized official EMMANUEL MANZI - (OWNER/DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/23/2023
Last updated 05/23/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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