| Recovery4life | |
|
31 Sherman Ave Columbus OH 43205-1421 | |
| (614) 352-6807 | |
| Not Available |
| Full Name | Recovery4life |
|---|---|
| Speciality | Social Worker |
| Location | 31 Sherman Ave, Columbus, Ohio |
| Authorized Official Name and Position | Virginia I Clagg (CEO) |
| Authorized Official Contact | 6143526807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery4life 31 Sherman Ave Columbus OH 43205-1421 Ph: (614) 352-6807 | Recovery4life 31 Sherman Ave Columbus OH 43205-1421 Ph: (614) 352-6807 |
| NPI Number | 1689332470 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 08/17/2024 |
| Certification Date | 08/17/2024 |
| Medicare PECOS PAC ID | 5991246399 |
|---|---|
| Medicare Enrollment ID | O20240925004147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689332470 | NPI | - | NPPES |
| Provider Name | Virginia I Clagg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669911749 PECOS PAC ID: 7719428010 Enrollment ID: I20240925004387 |
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