MEDICARE: 3210 E RD OPS, 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
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1912841826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3210 E RD OPS, LLC

Provider Business Mailing Address
First Line	:	133 HOLIDAY CT STE 102
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-1386
Country	:	US
Telephone Number	:	629-257-8260
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 E RD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505
Country	:	US
Telephone Number	:	629-257-8260
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF MANAGED CARE
Name	:	ALICIA NEAL
Credential	:
Telephone Number	:	629-257-8260

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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