Organization · Type 2 NPI
Recovery Source LLC
Lodging Provider · North East, MD
NPI number
1093353252
Active
Practice location
115 N Main St
North East, MD 21901-3502
Mailing address
119 Rolling Ave
North East, MD 21901-6328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1093353252
Recovery Source LLC's National Provider Identifier is 1093353252, issued on Dec 18, 2019. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in North East, MD. The record was last updated on Dec 18, 2019.