Organization
JEFFREY R HODGSON MD CORPORATION
Active
Other names
More To Life Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROSS HODGSON (OWNER)
(312) 305-9378
Entity
Organization
Contact information
Practice address
20100 QUARTZ MOUTAIN ROAD NORTH, FIDDLETOWN, CA 95629
(312) 305-9378
Mailing address
PO BOX 353, FIDDLETOWN, CA 95629-0353
(312) 305-9378
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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