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Contact Information

RECOVERY VILLAGE AT PALMER LAKE, LLC
443 S. HWY 105
PALMER LAKE, CO80133
 Phone: 719-884-0063
 Fax:
 Website: https://www.palmerlakerecovery.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for RECOVERY VILLAGE AT PALMER LAKE, LLC

NPI Number 1356738132
LBN Legal business name RECOVERY VILLAGE AT PALMER LAKE, LLC
Authorized official BELINA SURUJON - (LICENSING & CONTRACTING DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2015
Last updated 05/11/2026 - About a month 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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