Organization
LIVING HOPE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL JUSTIN RYAN (CEO)
(904) 568-2517
Entity
Organization
Contact information
Practice address
440 SW SWEETBREEZE DR, LAKE CITY, FL 32024-3699
(904) 568-2517
Mailing address
440 SW SWEETBREEZE DR, LAKE CITY, FL 32024-3699
(904) 568-2517
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
FL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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