NPI 1023293503

Life in Recovery, LLC.

Organisation Exclusive Provider Organization Little Falls, MN

Practice location

Address: 304 8th St SE, Little Falls, MN 56345-3241
Phone: (320) 360-4755
Fax: (320) 632-2781

Authorised official

Name: Doreen Marie Loomis
Title: Owner
Phone: (320) 632-2598

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 9021 (MN)

Other Exclusive Provider Organization providers in Minnesota →

Registry record

NPI: 1023293503
Entity type: Organization
NPI issued: 3 Jan 2008
Record last updated: 3 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.