Provider Demographics
NPI:1598431322
Name:FIRST CLASS RECOVERY LLC
Entity Type:Organization
Organization Name:FIRST CLASS RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:502-314-1342
Mailing Address - Street 1:6919 CATALPA SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-2393
Mailing Address - Country:US
Mailing Address - Phone:502-314-1342
Mailing Address - Fax:
Practice Address - Street 1:729 NW 2ND ST APT 828
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33128-1472
Practice Address - Country:US
Practice Address - Phone:502-314-1342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility