Provider Demographics
NPI:1902184286
Name:LIVING RECOVERY, LLC
Entity Type:Organization
Organization Name:LIVING RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:DOLORES
Authorized Official - Last Name:ZEGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, IADC
Authorized Official - Phone:515-333-1267
Mailing Address - Street 1:8527 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-1069
Mailing Address - Country:US
Mailing Address - Phone:515-402-5422
Mailing Address - Fax:515-224-5802
Practice Address - Street 1:8527 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 9
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-1069
Practice Address - Country:US
Practice Address - Phone:515-402-5422
Practice Address - Fax:515-224-5802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health