Organization
LOTUS HOUSE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW RYAN ARENA (OWNER)
(786) 452-9190
Entity
Organization
Contact information
Practice address
12355 W DIXIE HWY, NORTH MIAMI, FL 33161-5428
(786) 452-9190
(786) 483-7992
Mailing address
12355 W DIXIE HWY, NORTH MIAMI, FL 33161-5428
(786) 452-9190
(786) 483-7992
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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