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General NPI Number Information
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NPI Number | 1427985779
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Entity Type | Organization
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Legal Business Name | SHELTER RECOVERY SERVICE INC.
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 307 SUNSET BLVD
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City | TOLEDO
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State | OH
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Zip | 43612-2569
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Country | US
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Telephone | 419-934-3235
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Fax |
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Provider Business Mailing Address
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Address Line | 307 SUNSET BLVD
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City | TOLEDO
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State | OH
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Zip | 43612-2569
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Country | US
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Telephone | 419-934-3235
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KEVIN CUNNINGHAM
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Credential | AO
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Telephone | 419-934-3235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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