NPI 1154894954

Lumina Revenue Cycle Management LLC

Organisation Substance Abuse Rehabilitation Facility Van Buren, AR

Practice location

Address: 3909 Highway 282, Van Buren, AR 72956-8718
Phone: (479) 242-1003
Fax: (501) 510-5917
Mailing address: PO Box 7768, Van Buren, AR 72956-0741

Authorised official

Name: Dorotha Diane Bynum
Title: Owner
Phone: (479) 242-1003

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1154894954
Entity type: Organization
NPI issued: 4 Jan 2019
Record last updated: 4 Dec 2023

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.