Provider Demographics
NPI:1063052579
Name:LANDMARK RECOVERY OF NORFOLK LLC
Entity type:Organization
Organization Name:LANDMARK RECOVERY OF NORFOLK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-281-9050
Mailing Address - Street 1:720 COOL SPRINGS BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7259
Mailing Address - Country:US
Mailing Address - Phone:855-950-5035
Mailing Address - Fax:
Practice Address - Street 1:1516 HARMON ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-4056
Practice Address - Country:US
Practice Address - Phone:757-666-8136
Practice Address - Fax:888-565-0442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility