Provider Demographics
NPI:1427439678
Name:RECOVERY LIFE MINISTRIES
Entity type:Organization
Organization Name:RECOVERY LIFE MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HULLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-799-7743
Mailing Address - Street 1:207 HUDSON TRCE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-2010
Mailing Address - Country:US
Mailing Address - Phone:706-799-7743
Mailing Address - Fax:706-262-2899
Practice Address - Street 1:207 HUDSON TRCE
Practice Address - Street 2:SUITE 111
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-2010
Practice Address - Country:US
Practice Address - Phone:706-799-7743
Practice Address - Fax:706-262-2899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-13
Last Update Date:2015-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health