Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKESIDE LIFE RECOVERY, LLC
Active OrganizationLAKESIDE LIFE RECOVERY, LLC is a Substance Abuse Rehabilitation Facility organization located in NEWARK, Texas. NPI 1609171008 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · NEWARK, TX
Registration Details
- NPI Number
- 1609171008
- Provider Type
- Organization
- NPI Issued
- Jan 14, 2011 (15.573815150561 yrs)
- Last Updated
- Jan 14, 2011
Practice Information
- Address
-
341 COUNTY ROAD 4874NEWARK, TX, 760713715Browse TX providers · Browse ZIP 76071
- Phone
- 8178314673
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.