Organization
EAGLE LAKE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ANDREW MILLER (HR & COMPLIANCE OFFICER)
(318) 237-0252
Entity
Organization
Contact information
Practice address
135 HIGHWAY 556, CHOUDRANT, LA 71227-2300
(318) 237-0252
Mailing address
300 WASHINGTON ST STE 212, MONROE, LA 71201-6762
(318) 237-0252
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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