Organization
JUPITER MEDICAL CENTER PAVILION, INC.
Active
Parent organization
JUPITER MEDICAL CENTER PAVILION, INC.
Other names
Lighthouse Detox
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUPITER MEDICAL CENTER PAVILION, INC.
Authorized official
BETSY HEARTFIELD MSPT, NHA (ADMINISTRATOR)
(561) 263-5090
Entity
Organization
Contact information
Practice address
1230 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 263-5090
(561) 263-5730
Mailing address
1230 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 263-5090
(561) 263-5730
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SNF1263096
FL
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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