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Organization
LEMONADE RECOVERY HOMES 1
Active
Organization
LEMONADE RECOVERY HOMES 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE KOZ (FOUNDER, CEO)
(408) 898-8791
Entity
Organization
Contact information
Practice address
1371 BUTTE ST, TULARE, CA 93274-7858
(833) 939-6159
Mailing address
99 ALMADEN BLVD STE 600, SAN JOSE, CA 95113-1605
(833) 939-6159
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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