| Recovery Cove Llc | |
|
2005 Fairview Ave Easton PA 18042-3915 | |
| (484) 549-2683 | |
| Not Available |
| Full Name | Recovery Cove Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2005 Fairview Ave, Easton, Pennsylvania |
| Authorized Official Name and Position | David Brachfeld (CEO) |
| Authorized Official Contact | 4845492683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Cove Llc 2005 Fairview Ave Easton PA 18042-3915 Ph: (484) 549-2683 | Recovery Cove Llc 2005 Fairview Ave Easton PA 18042-3915 Ph: (484) 549-2683 |
| NPI Number | 1033845029 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 07/02/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 2365884863 |
|---|---|
| Medicare Enrollment ID | O20240530000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033845029 | NPI | - | NPPES |
| Provider Name | Kurt W Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801987961 PECOS PAC ID: 8729071048 Enrollment ID: I20040405000354 |
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