NPI 1295329803
Restore LLC
Practice location
- Address
- 1096 Tena Ave, Fairbanks, AK 99701-1422
- Phone
- (907) 374-1097
- Mailing address
- PO Box 73004, Fairbanks, AK 99707-3004
Authorised official
- Name
- Timothy M Thomas
- Title
- Chief Operations Officer
- Phone
- (907) 374-1097
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1295329803
- Entity type
- Organization
- NPI issued
- 24 Feb 2021
- Record last updated
- 7 Oct 2024
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.