Organization
BEADED STAR RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN DAHL RD (MGR)
(904) 270-1234
Entity
Organization
Contact information
Practice address
2380 3RD ST S STE 2, JACKSONVILLE BEACH, FL 32250-4023
(904) 270-1234
Mailing address
2380 3RD ST S STE 2, JACKSONVILLE BEACH, FL 32250-4023
(904) 270-1234
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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