National Provider Identifier Database

LINCOLN NOVA VITAL RECOVERY CENTERLLC
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

LINCOLN NOVA VITAL RECOVERY CENTER,LLC
4396 HIGHWAY 80
RUSTON, LA71270-8948
Phone: 318-251-4659
Fax: 318-251-4659
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Community/Behavioral Health 251S00000X
Rehabilitation, Substance Use Disorder 261QR0405X
Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for LINCOLN NOVA VITAL RECOVERY CENTER,LLC

NPI Number 1043780851
Legal business name
LBN
LINCOLN NOVA VITAL RECOVERY CENTER,LLC
Authorized official DENNY GAMBLE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/05/2018
Last updated 03/19/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1336348317 251S00000X

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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