Organization
ALCONAR RESTORATION MINISTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R HAMMONS (VICE-PRESIDENT)
(850) 995-0211
Entity
Organization
Contact information
Practice address
1400 BELL CREEK RD, JAY, FL 32565-9775
(850) 995-7317
(850) 995-7318
Mailing address
4286 WOODBINE RD, STE: A&B, PACE, FL 32571-8782
(850) 995-0211
(850) 995-0212
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
FAITH BASE
FL
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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