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NPI Code Detail

MEDICARE: INDIANA RECOVERY HOMES LLC

MEDICARE: INDIANA RECOVERY HOMES 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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1104776442
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIANA RECOVERY HOMES LLC
Provider Business Mailing Address
First Line : PO BOX 269
Second Line :
City : DELLSLOW
State : WV
Zip : 26531-0269
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2630 22ND ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-3702
Country : US
Telephone Number : 812-375-3784
Fax Number :
Authorized Official
Title or Position : SR DIRECTOR
Name : MORGAN HENSON
Credential :
Telephone Number : 304-503-3448
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “INDIANA RECOVERY HOMES LLC ” Practice Location

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