National Provider Identifier Database

LIFETORCH RECOVERY CENTER WELLNESS LLC
Rural Health


Contact Information

LIFETORCH RECOVERY CENTER & WELLNESS LLC
1041 W SOLANA AVE
AJO, AZ85321-2337
Phone: 952-564-1263
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Addiction (Substance Use Disorder) 101YA0400X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for LIFETORCH RECOVERY CENTER & WELLNESS LLC

NPI Number 1760101794
Legal business name
LBN
LIFETORCH RECOVERY CENTER & WELLNESS LLC
Authorized official EMILY LAGAT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/23/2022
Last updated 11/26/2022 - About 4 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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