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Contact Information

LIFETORCH RECOVERY CENTER & WELLNESS LLC
1041 W SOLANA AVE
AJO, AZ85321-2337
 Phone: 952-564-1263
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Addiction (Substance Use Disorder)

101YA0400X
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for LIFETORCH RECOVERY CENTER & WELLNESS LLC

NPI # 1760101794
LBN Legal business name LIFETORCH RECOVERY CENTER & WELLNESS LLC
Authorized official EMILY LAGAT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2022
Last updated 11/26/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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