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General NPI Number Information
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NPI Number | 1801242763
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Entity Type | Organization
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Legal Business Name | RECOVERY HOMES OF AMERICA INC
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 427 S YORBA ST
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City | ORANGE
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State | CA
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Zip | 92869-4609
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Country | US
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Telephone | 714-547-5375
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Fax | 714-541-3320
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Provider Business Mailing Address
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Address Line | 1950 E 17TH ST SUITE 150
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City | SANTA ANA
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State | CA
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Zip | 92705-6852
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Country | US
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Telephone | 714-547-5375
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Fax | 714-541-3320
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | SAMANTHA STONE
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Credential |
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Telephone | 714-547-5375
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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 | 300017FP
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License Number State | CA
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