Organization
RED OAK LODGE RECOVERY LLC
Active
Organization
RED OAK LODGE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDIKAT BUARI MBA (CHIEF FINANCIAL OFFICER)
(562) 370-3072
Entity
Organization
Contact information
Practice address
5155 US HIGHWAY 50, GERALD, MO 63037-1730
(562) 370-3072
Mailing address
2329 BEAR CUB BND, LEANDER, TX 78641-5196
(562) 370-3072
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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