Organization
LIVING HOPE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI KORNMILLER (ONBOARDING MANAGER)
(561) 672-8345
Entity
Organization
Contact information
Practice address
1531 SW COMMERCIAL GLN, LAKE CITY, FL 32025-0454
(386) 365-4635
Mailing address
1531 SW COMMERCIAL GLN, LAKE CITY, FL 32025-0454
(386) 365-4635
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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