Organization
ISLE OF PALMS RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN MOORE (CEO)
(614) 504-6470
Entity
Organization
Contact information
Practice address
5027 TAMIAMI TRL E, NAPLES, FL 34113-4126
(844) 422-3446
Mailing address
8150 US HIGHWAY 42 N, PLAIN CITY, OH 43064-9774
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1102
FL
Other
Enumeration date
12/06/2016
Last updated
07/21/2022
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