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Contact Information

RECOVERYDE LLC
614 4TH ST NE
MONTGOMERY, MN56069-1412
 Phone: 507-412-3919
 Fax: 507-412-3919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for RECOVERYDE LLC

NPI Number 1235926601
LBN Legal business name RECOVERYDE LLC
Authorized official SEAN BOSQUEZ - (PEER RECOVERY SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/21/2025
Last updated 04/21/2025 - More than a year 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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