Recoveryde LLC
Organization Active NPI Private Vehicle · Montgomery, MN
NPI 1235926601 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1235926601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Private Vehicle 347C00000X
- Legal business name
- RECOVERYDE LLC
- Practice address
- 614 4TH St NE
Montgomery, MN 56069-1412 - Phone
- (507) 412-3919
- Fax
- (507) 412-3919
- NPI assigned
- Apr 21, 2025
- Organization subpart
- No
Authorized official
- Name
- Mr. Sean M Bosquez, CPRS
- Title
- Peer Recovery Specialist
- Phone
- (507) 412-3919
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Yes |
Addresses
Primary practice location
614 4TH St NE
Montgomery, MN 56069-1412
Mailing address
614 4TH St NE
Montgomery, MN 56069-1412
Phone (507) 412-3919
Other names
- Recoveryde
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All providers in Montgomery, MN · Private Vehicle in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.