Healthcare Provider Details

I. General information

NPI: 1710368071
Provider Name (Legal Business Name): ZION RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 09/12/2025
Certification Date: 10/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 E RIVERSIDE DR STE 8
ST GEORGE UT
84790-5790
US

IV. Provider business mailing address

368 E RIVERSIDE DR STE 8
SAINT GEORGE UT
84790-5790
US

V. Phone/Fax

Practice location:
  • Phone: 833-446-3733
  • Fax:
Mailing address:
  • Phone: 801-674-2628
  • Fax: 435-359-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1686321205
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROBERT BEATTY
Title or Position: CEO/EXEC DIRECTOR
Credential:
Phone: 801-674-2628