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Pure Life Recovery, Llc
Substance Abuse Rehabilitation Facility in Escondido, California
NPI 1912440645

Pure Life Recovery, Llc is a Substance Abuse Rehabilitation Facility based in San Clemente, CA. Pure Life Recovery, Llc practices in Escondido, CA. The NPI Number for Pure Life Recovery, Llc is 1912440645 and holds a License No. 370174AP (California).

The current practice location address for Pure Life Recovery, Llc is 19915 Fortuna Del Este, Escondido, CA and can be reached out via phone at 760-290-4749.

Location: 19915 Fortuna Del Este, Escondido, CA, 92673-6278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912440645
Provider Name
Pure Life Recovery, Llc
Credential
Provider Entity Type
Organization
Address
19915 Fortuna Del Este, Escondido, CA, 92673-6278
Phone Number
760-290-4749
Fax Number
Provider Enumeration Date
11/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370174AP 01 CA STATE LICENSE - DHCS
institution
Provider Business Practice Location Address Details
Address
19915 Fortuna Del Este
City
Escondido
State
California
Zip
92029-5917
Phone Number
760-290-4749
Fax Number
person
Provider Business Mailing Address Details
Address
19915 Fortuna Del Este
City
Escondido
State
California
Zip
92029-5917
Phone Number
760-290-4749
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
370174AP (California)
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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