Provider Demographics
NPI:1548782816
Name:MONARCH HEALTH AND RECOVERY LLC
Entity Type:Organization
Organization Name:MONARCH HEALTH AND RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, CDCA
Authorized Official - Phone:740-858-6656
Mailing Address - Street 1:22664 STATE ROUTE 73
Mailing Address - Street 2:
Mailing Address - City:WEST PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45663-6365
Mailing Address - Country:US
Mailing Address - Phone:740-858-6656
Mailing Address - Fax:740-858-5412
Practice Address - Street 1:22664 STATE ROUTE 73
Practice Address - Street 2:
Practice Address - City:WEST PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45663-6365
Practice Address - Country:US
Practice Address - Phone:740-858-6656
Practice Address - Fax:740-858-5412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-08
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty