Organization
PREMIER DETOX SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LUNA RN (OWNER/DON)
(772) 400-7492
Entity
Organization
Contact information
Practice address
7870 94TH AVE, VERO BEACH, FL 32967-4200
(772) 400-7492
Mailing address
7870 94TH AVE, VERO BEACH, FL 32967-4200
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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