Organization
LIVE FOR RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA CHEADLE (OWNER)
(740) 207-1168
Entity
Organization
Contact information
Practice address
125 W MAIN ST RM 1, CIRCLEVILLE, OH 43113-1619
(614) 653-7736
Mailing address
90 EVERGREEN AVE, CIRCLEVILLE, OH 43113-1014
(740) 207-1168
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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