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Lincoln Nova Vital Recovery Center,llc
Substance Abuse Rehabilitation Facility in Ruston, Louisiana
NPI 1043780851

Lincoln Nova Vital Recovery Center,llc is a Substance Abuse Rehabilitation Facility based in Shreveport, LA. Lincoln Nova Vital Recovery Center,llc practices in Ruston, LA. The NPI Number for Lincoln Nova Vital Recovery Center,llc is 1043780851 and holds a License No. (Louisiana).

The current practice location address for Lincoln Nova Vital Recovery Center,llc is 4396 Highway 80, Ruston, LA and can be reached out via phone at 318-251-4659 and via fax at 318-251-4659. You can also correspond with Lincoln Nova Vital Recovery Center,llc through the mailing address at 8520 BUSINESS PARK DR, SHREVEPORT, LA - 71105-5654 (mailing address contact number: 318-251-4659).

Location: 4396 Highway 80, Ruston, LA, 71105-5654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043780851
Provider Name
Lincoln Nova Vital Recovery Center,llc
Credential
Provider Entity Type
Organization
Address
4396 Highway 80, Ruston, LA, 71105-5654
Phone Number
318-251-4659
Fax Number
318-251-4659
Provider Enumeration Date
12/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336348317 01 251S00000X
institution
Provider Business Practice Location Address Details
Address
4396 Highway 80
City
Ruston
State
Louisiana
Zip
71270-8948
Phone Number
318-251-4659
Fax Number
318-251-4659
person
Provider Business Mailing Address Details
Address
4396 Highway 80
City
Ruston
State
Louisiana
Zip
71270-8948
Phone Number
318-251-4659
Fax Number
318-251-4659
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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.
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