NPI
Re-Creation Retreat Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2012-06-07
- Last updated
- 2012-11-21
Specialties
Licenses
- License AZ
- BH-3895
- License AZ
- BH-3895
Location
- Practice location
- 455 South Main
- City
- Fredonia AZ
- Postal code
- 86022
- Phone
- (435) 691-0856
Organization contact
- Name
- RANDY SODERQUIST
- Title
- Owner and Clinical Director
- Phone
- 4356910856
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Fredonia, AZ. 18 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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