Provider Demographics
NPI:1366017642
Name:SHEER RECOVERY LLC
Entity Type:Organization
Organization Name:SHEER RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALANOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-529-5945
Mailing Address - Street 1:20381 LAKE FOREST DR STE B7
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-8107
Mailing Address - Country:US
Mailing Address - Phone:714-206-3466
Mailing Address - Fax:
Practice Address - Street 1:33771 GLOCAMORA LN
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-4957
Practice Address - Country:US
Practice Address - Phone:714-206-3466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility