Organization
LOTUS RECOVERY REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE STIFF (ADMINISTRATOR)
(954) 588-7039
Entity
Organization
Contact information
Practice address
955 NW 17TH AVE, SUITE F, DELRAY BEACH, FL 33445-2516
(954) 588-4934
(865) 984-2426
Mailing address
455 NE 5TH AVE, D-117, DELRAY BEACH, FL 33483-5658
(954) 588-4934
(865) 984-2426
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2039197
CLIA
FL
Enumeration date
01/19/2013
Last updated
05/06/2015
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