Active NPIOrganization

Full Of Life Recovery Center Of Mass LLC

Substance Abuse Rehabilitation Facility in Agawam, Massachusetts

NPI Number1548110901
Practice location
711 Silver St, Agawam, MA 01001-2988
Fax
—
Last updated
February 3, 2026

Full Of Life Recovery Center Of Mass LLC is a healthcare organization based in Agawam, MA. Full Of Life Recovery Center Of Mass LLC practices in Agawam, MA. The NPI Number for Full Of Life Recovery Center Of Mass LLC is 1548110901. The current practice location address for Full Of Life Recovery Center Of Mass LLC is 711 Silver St, Agawam, MA 01001-2988 and can be reached out via phone at 609-509-9533.

Provider Profile Details

NPI Number
1548110901
Provider Name
Full Of Life Recovery Center Of Mass LLC
Provider Entity Type
Organization
Address
711 Silver St, Agawam, MA 01001-2988
Phone Number
609-509-9533
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Organization Subpart
No
Authorized Official
Gerard Clark · Manager · 609-509-9533
Provider Enumeration Date
February 3, 2026
Last Update Date
February 3, 2026
Certification Date
February 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
711 Silver St
Agawam, MA 01001-2988
City
Agawam
Zip
01001-2988
Phone Number
609-509-9533
Agawam, MA 01001Get directions →

Provider Business Mailing Address Details

Address
711 Silver St
Agawam, MA 01001-2988
City
Agawam
State
MA
Zip
01001-2988
Phone Number
609-509-9533

License Information

Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Full Of Life Recovery Center Of Mass LLC?

The NPI number of Full Of Life Recovery Center Of Mass LLC is 1548110901. It was assigned on February 3, 2026 and is currently active in the NPPES registry.

What is the specialty of Full Of Life Recovery Center Of Mass LLC?

Full Of Life Recovery Center Of Mass LLC is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X).

Where does Full Of Life Recovery Center Of Mass LLC practice?

The practice location is 711 Silver St, Agawam, MA 01001-2988. The office can be reached at 609-509-9533 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548110901 directly on the NPPES registry website.

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