Organization
IKANN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH RUZA (CEO/PROGRAM DIRECTOR)
(954) 881-8661
Entity
Organization
Contact information
Practice address
2021 TYLER ST STE 201, HOLLYWOOD, FL 33020-4573
(954) 881-8661
Mailing address
2021 TYLER ST STE 201, HOLLYWOOD, FL 33020-4573
(954) 881-8661
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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