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Organization

ONE LAST CHANCE SOBER LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL PIERCE (LABORATORY DIRECTOR)
(954) 691-6483
Entity
Organization

Contact information

Practice address
211 SW 11TH ST, FT LAUDERDALE, FL 33315-1228
(954) 691-6483
Mailing address
808 SW 2ND ST, FT LAUDERDALE, FL 33312-1716
(954) 691-6483

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
09/17/2013
Last updated
09/17/2013
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