# LOTUS HOUSE RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497265805
- **Authorized official:** MATHEW RYAN ARENA (OWNER)
- **Authorized official phone:** (786) 452-9190

## Contact information

- **Practice address:** 12355 W DIXIE HWY, NORTH MIAMI, FL 33161-5428
- **Practice address phone:** (786) 452-9190
- **Practice address fax:** (786) 483-7992
- **Mailing address:** 12355 W DIXIE HWY, NORTH MIAMI, FL 33161-5428
- **Mailing address phone:** (786) 452-9190
- **Mailing address fax:** (786) 483-7992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2017
- **Last updated:** 10/11/2017