1043780851 LINCOLN NOVA VITAL RECOVERY CENTER,LLC
Substance Abuse Rehabilitation Facility
Active
Basic Information
- Organization Name
- LINCOLN NOVA VITAL RECOVERY CENTER,LLC
- Enumeration Date
- December 5, 2018
- Last Update
- March 19, 2025
- Authorized Official
- MR. DENNY E. GAMBLE JR. FACHCA
OWNER
Phone: (318) 251-4659
Practice Location
- Address
- 4396 HIGHWAY 80
RUSTON, LA 712708948 - Phone
- (318) 251-4659
- Fax
- (318) 251-4659
Mailing Address
- Address
- 8520 BUSINESS PARK DR
SHREVEPORT, LA 711055654 - Phone
- (318) 251-4659
- Fax
- (318) 251-4659
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Rehabilitation, Substance Use Disorder Unit | N/A | N/A | No |
| Substance Abuse Rehabilitation Facility | 324500000X | Substance Abuse Rehabilitation Facility | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336348317 | 01 | N/A | 251S00000X |
Frequently Asked Questions
What is LINCOLN NOVA VITAL RECOVERY CENTER,LLC's NPI number?
LINCOLN NOVA VITAL RECOVERY CENTER,LLC's NPI number is 1043780851.
Which doctor has NPI number 1043780851?
The doctor with NPI number 1043780851 is LINCOLN NOVA VITAL RECOVERY CENTER,LLC.
What is LINCOLN NOVA VITAL RECOVERY CENTER,LLC's practice address?
LINCOLN NOVA VITAL RECOVERY CENTER,LLC's practice address is 4396 HIGHWAY 80, RUSTON, LA, 712708948.
Which doctor practices at 4396 HIGHWAY 80, RUSTON, LA, 712708948?
LINCOLN NOVA VITAL RECOVERY CENTER,LLC practices at 4396 HIGHWAY 80, RUSTON, LA, 712708948.
What is LINCOLN NOVA VITAL RECOVERY CENTER,LLC's mailing address?
LINCOLN NOVA VITAL RECOVERY CENTER,LLC's mailing address is 8520 BUSINESS PARK DR, SHREVEPORT, LA, 711055654.
What is LINCOLN NOVA VITAL RECOVERY CENTER,LLC's phone number?
LINCOLN NOVA VITAL RECOVERY CENTER,LLC's phone number is (318) 251-4659.
Who is (318) 251-4659?
(318) 251-4659 is the phone number for LINCOLN NOVA VITAL RECOVERY CENTER,LLC.
What is LINCOLN NOVA VITAL RECOVERY CENTER,LLC's specialty?
LINCOLN NOVA VITAL RECOVERY CENTER,LLC's specialty is Substance Abuse Rehabilitation Facility.
What type of doctor is LINCOLN NOVA VITAL RECOVERY CENTER,LLC?
LINCOLN NOVA VITAL RECOVERY CENTER,LLC is a Substance Abuse Rehabilitation Facility.
Is LINCOLN NOVA VITAL RECOVERY CENTER,LLC a Substance Abuse Rehabilitation Facility?
Yes, LINCOLN NOVA VITAL RECOVERY CENTER,LLC is a Substance Abuse Rehabilitation Facility.
Is LINCOLN NOVA VITAL RECOVERY CENTER,LLC still practicing?
Yes, LINCOLN NOVA VITAL RECOVERY CENTER,LLC is currently practicing.
Is LINCOLN NOVA VITAL RECOVERY CENTER,LLC accepting new patients?
LINCOLN NOVA VITAL RECOVERY CENTER,LLC may be accepting new patients. Please call their office at (318) 251-4659 to inquire about availability.
Is NPI 1043780851 still active?
Yes, NPI 1043780851 is currently active.
Where does LINCOLN NOVA VITAL RECOVERY CENTER,LLC practice?
LINCOLN NOVA VITAL RECOVERY CENTER,LLC practices in RUSTON, LA.