Organization · Type 2 NPI

Lifeline Recovery Center, Inc.

Substance Abuse Rehabilitation Facility · Paducah, KY

NPI number 1013598317 Active

Practice location

2806 Morgan Lane
Paducah, KY 42001

Call (270) 448-0961 Map

Fax (270) 448-1039

Mailing address

PO Box 7652
Paducah, KY 42002-7652

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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NPI record

NPI: 1013598317
Entity type: Organization (Type 2)
Issued: Apr 19, 2021
Last updated: Feb 13, 2024
Status: Active

Other names

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Lifeline Recovery Center, Inc. Women's Campus · other name
Lifeline Recovery Center, Inc. Women's Campus · other name

Authorized official

Ashley Rubeene Miller
Executive Director
(270) 227-1745

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013598317

Lifeline Recovery Center, Inc.'s National Provider Identifier is 1013598317, issued on Apr 19, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Paducah, KY. The record was last updated on Feb 13, 2024.