Organization
LIBERTY PINE RECOVERY LLC
Active
Organization
LIBERTY PINE RECOVERY LLC
Active
Other names
Lifeline Recovery and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WHEDON (MEMBER/PARTNER)
(856) 693-3007
Entity
Organization
Contact information
Practice address
255 GREAT VALLEY PKWY STE 200, MALVERN, PA 19355-1300
(856) 693-3007
Mailing address
255 GREAT VALLEY PKWY STE 200, MALVERN, PA 19355-1300
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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