National Provider Identifier Database

BRADFORD RIVER BEND LLC
Rehabilitation, Substance Use Disorder


Contact Information

BRADFORD RIVER BEND, LLC
226 LOWE LN
LUCEDALE, MS39452-4313
Phone: 601-791-5135
Fax: 601-791-5140
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Rehabilitation, Substance Use Disorder Unit 276400000X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for BRADFORD RIVER BEND, LLC

NPI Number 1417576596
Legal business name
LBN
BRADFORD RIVER BEND, LLC
Authorized official MARK EDWARDS - (CFO)
Entity Organization
Organization subpart No
Enumeration date 04/09/2020
Last updated 02/23/2026 - About 3 months 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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