LINCOLN NOVA VITAL RECOVERY CENTER,LLC

RUSTON, LA
NPI1043780851
Entity TypeOrganization
Authorized ContactDENNY E. GAMBLE
Owner
318-251-4659
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Additional Taxonomies251S00000X 
Enumeration Date2018-12-05
Last Update Date2019-05-21
Business Address
LINCOLN NOVA VITAL RECOVERY CENTER,LLC
4396 HIGHWAY 80
RUSTON, LA 71270-8948
Phone number: 318-251-4659
Mailing Address
LINCOLN NOVA VITAL RECOVERY CENTER,LLC
8520 BUSINESS PARK DR
SHREVEPORT, LA 71105-5654
Phone number: 318-251-4659
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