Organization
LISA MERLIN HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA E MERLIN (PRESIDENT/CEO)
(407) 292-0109
Entity
Organization
Contact information
Practice address
3101 N PINE HILLS RD, ORLANDO, FL 32808-3543
(407) 292-0109
(407) 293-5709
Mailing address
3101 N PINE HILLS RD, ORLANDO, FL 32808-3543
(407) 292-0109
(407) 293-5709
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0748AD260003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S6B
BCBSFL PROVIDER NO.
FL
Enumeration date
12/06/2005
Last updated
08/22/2020
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