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Recovery Source Llc
Lodging Provider in North East, Maryland
NPI 1093353252

Recovery Source Llc is a Lodging Provider based in North East, MD. Recovery Source Llc practices in North East, MD. The NPI Number for Recovery Source Llc is 1093353252 and holds a License No. (Maryland).

The current practice location address for Recovery Source Llc is 115 N Main St, North East, MD and can be reached out via phone at 410-441-4617.

Location: 115 N Main St, North East, MD, 21901-6328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093353252
Provider Name
Recovery Source Llc
Credential
Provider Entity Type
Organization
Address
115 N Main St, North East, MD, 21901-6328
Phone Number
410-441-4617
Fax Number
Provider Enumeration Date
12/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
819671 05 MD
institution
Provider Business Practice Location Address Details
Address
115 N Main St
City
North East
State
Maryland
Zip
21901-3502
Phone Number
410-441-4617
Fax Number
person
Provider Business Mailing Address Details
Address
115 N Main St
City
North East
State
Maryland
Zip
21901-3502
Phone Number
410-441-4617
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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