Organization
LAUREL HILL INN, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BAGLEY (CHIEF FINANCIAL OFFICER)
(305) 663-1876
Entity
Organization
Contact information
Practice address
121 MYSTIC ST, MEDFORD, MA 02155-3463
(781) 391-8000
(781) 391-8008
Mailing address
6100 SW 76TH ST, SOUTH MIAMI, FL 33143-5002
(305) 663-1876
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/15/2007
Last updated
03/04/2020
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