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Organization
LOTUS HOUSE RECOVERY CENTER LLC
Active
Organization
LOTUS HOUSE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED TICHELI (OWNER)
(917) 596-1929
Entity
Organization
Contact information
Practice address
12357 W DIXIE HWY, NORTH MIAMI, FL 33161-5428
(917) 596-1929
Mailing address
12357 W DIXIE HWY, NORTH MIAMI, FL 33161-5428
(917) 596-1929
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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