Provider Demographics
NPI:1235922881
Name:5R RECOVERY
Entity type:Organization
Organization Name:5R RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:LANDON
Authorized Official - Suffix:
Authorized Official - Credentials:PEER SUPPORT
Authorized Official - Phone:425-772-9552
Mailing Address - Street 1:6830 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-5125
Mailing Address - Country:US
Mailing Address - Phone:425-772-9552
Mailing Address - Fax:
Practice Address - Street 1:6830 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-5125
Practice Address - Country:US
Practice Address - Phone:425-772-9552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management