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NPI Code Detail

MEDICARE: LANDMARK RECOVERY OF MASSACHUSETTS LLC

MEDICARE: LANDMARK RECOVERY OF MASSACHUSETTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1639824279
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANDMARK RECOVERY OF MASSACHUSETTS LLC
Provider Business Mailing Address
First Line : 720 COOL SPRINGS BLVD STE 500
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-7259
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 SUFFIELD ST
Second Line :
City : AGAWAM
State : MA
Zip : 01001-2933
Country : US
Telephone Number : 855-950-5035
Fax Number :
Authorized Official
Title or Position : CONTRACTING SPECIALIST
Name : ALICIA NEAL
Credential :
Telephone Number : 615-281-9050
Provider Enumeration Date : 02/12/2022
Last Update Date : 06/20/2023

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Directions to “LANDMARK RECOVERY OF MASSACHUSETTS LLC ” Practice Location

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