Organization
IN HOME RECOVERY CARE
Active
Other names
IRC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FLOUNLACKER (CEO)
(850) 377-5623
Entity
Organization
Contact information
Practice address
4300 BAYOU BLVD STE 35B, PENSACOLA, FL 32503-2671
(850) 377-5623
Mailing address
4300 BAYOU BLVD STE 35B, PENSACOLA, FL 32503-2671
(850) 377-5623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L19000221536
—
FL
Enumeration date
01/07/2020
Last updated
01/07/2020
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