Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifehouse Recovery Av, Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1003697137

Lifehouse Recovery Av, Inc is a Substance Abuse Rehabilitation Facility in Palmdale, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

41642 Sherry Way
Palmdale, CA 93551-1684
Phone: (661) 206-5285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1003697137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ganello — Administrator · (323) 872-8721
NPI enumeratedOctober 13, 2023
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024
Mailing address41642 Sherry Way, Palmdale, CA 93551-1684

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