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Organization

LANDMARK RECOVERY OUTPATIENT SERVICES LLC

Active
Other names
Landmark Recovery of Lexington
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS JAMES LOSOLE (PRESIDENT)
(480) 550-2163
Entity
Organization

Contact information

Practice address
1510 NEWTOWN PIKE STE 120, LEXINGTON, KY 40511-1255
(888) 448-0302
Mailing address
4835 E CACTUS RD STE 130, SCOTTSDALE, AZ 85254-3545
(888) 448-0302

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
800286
LICENSE
KY
Enumeration date
12/17/2018
Last updated
04/29/2019
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