Organization
OUR PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE FLORES (BILLING COORDINATOR)
(754) 201-2265
Entity
Organization
Contact information
Practice address
4699 N FEDERAL HWY, SUITE 206A, POMPANO BEACH, FL 33064-6510
(888) 976-2379
(954) 719-6762
Mailing address
460 S OCEAN DR, DEERFIELD BEACH, FL 33441-5125
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1706AD870001
FL
Other
Enumeration date
01/26/2012
Last updated
12/04/2012
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