| Grace Land Recovery Llc | |
|
134 Timber Creek Dr Cordova TN 38018-4291 | |
| (901) 519-2655 | |
| (404) 698-1497 |
| Full Name | Grace Land Recovery Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 134 Timber Creek Dr, Cordova, Tennessee |
| Authorized Official Name and Position | Brett Aric Nelson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4046209745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Land Recovery Llc 134 Timber Creek Dr Cordova TN 38018-4291 Ph: (901) 519-2655 | Grace Land Recovery Llc 134 Timber Creek Dr Cordova TN 38018-4291 Ph: (901) 519-2655 |
| NPI Number | 1245821966 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245821966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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