=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891584645
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RECOVER NOW GEORGIA LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2025
-----------------------------------------------------
Last Update Date | 05/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 155 GREENSBORO RD
-----------------------------------------------------
City | EATONTON
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31024-6042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 762-220-6496
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2207 2ND AVE N
-----------------------------------------------------
City | BIRMINGHAM
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35203-3805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-243-0800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR, REVENUE CYCLE OPERATIONS
-----------------------------------------------------
Name | LATOYA JONES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 205-243-0800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 324500000X
-----------------------------------------------------
Taxonomy Name | Substance Abuse Rehabilitation Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------