National Provider Identifier Database

EXTRA MILE RECOVERY LLC
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

EXTRA MILE RECOVERY, LLC
720 OAK GROVE RD
MANTACHIE, MS38855
Phone: 662-246-2946
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for EXTRA MILE RECOVERY, LLC

NPI Number 1164948196
Legal business name
LBN
EXTRA MILE RECOVERY, LLC
Authorized official SCOTT SMITH - (OWNER/OPERATOR)
Entity Organization
Organization subpart No
Enumeration date 08/22/2017
Last updated 01/07/2025 - More than a year 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.

Reviews for EXTRA MILE RECOVERY, LLC

There are currently no reviews for EXTRA MILE RECOVERY, LLC


NPIdb - Home
v2.201