Provider Demographics
NPI:1760848097
Name:SHEER RECOVERY LLC
Entity Type:Organization
Organization Name:SHEER RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMMICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-305-6218
Mailing Address - Street 1:20381 LAKE FOREST DR
Mailing Address - Street 2:STE. B-7
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-8143
Mailing Address - Country:US
Mailing Address - Phone:949-529-5945
Mailing Address - Fax:
Practice Address - Street 1:27130A PASEO ESPADA
Practice Address - Street 2:STE. 1423
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675
Practice Address - Country:US
Practice Address - Phone:949-529-5945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility