Provider Demographics
NPI:1447968797
Name:SETTLERS LANDING RECOVERY, LLC.
Entity type:Organization
Organization Name:SETTLERS LANDING RECOVERY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:GEOFFREY
Authorized Official - Last Name:EDENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:BBA, MBA
Authorized Official - Phone:713-859-6309
Mailing Address - Street 1:1002 SADDLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:VA
Mailing Address - Zip Code:24348-4443
Mailing Address - Country:US
Mailing Address - Phone:713-859-6309
Mailing Address - Fax:
Practice Address - Street 1:491 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FRIES
Practice Address - State:VA
Practice Address - Zip Code:24330-4499
Practice Address - Country:US
Practice Address - Phone:713-859-6309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care