Organization
DESERT ROSE DETOX LLC
Active
Parent organization
DESERT ROSE FL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESERT ROSE FL LLC
Authorized official
CRAIG DOUGLAS WOOLARD (CORPORATE COMPLIANCE DIRECTOR)
(561) 346-2550
Entity
Organization
Contact information
Practice address
912 AVENUE I, FORT PIERCE, FL 34950-2237
(561) 422-4946
Mailing address
357 HIATT DR, PALM BEACH GARDENS, FL 33418-8222
(561) 346-2550
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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