# SELF-RECOVERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255409447
- **Authorized official:** TOMMY MOORE CEO (OWNER)
- **Authorized official phone:** (334) 644-6848

## Contact information

- **Practice address:** 106 N LANIER AVE, LANETT, AL 36863-2014
- **Practice address phone:** (334) 644-6848
- **Practice address fax:** (334) 644-5443
- **Mailing address:** 106 N LANIER AVE, LANETT, AL 36863-2014
- **Mailing address phone:** (334) 644-6848
- **Mailing address fax:** (334) 644-5543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 00022660 | AL | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 12/09/2024