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Organization

LOTUS HOUSE RECOVERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ED TICHELI (OWNER)
(917) 596-1929
Entity
Organization

Contact information

Practice address
12357 W DIXIE HWY, NORTH MIAMI, FL 33161-5428
(917) 596-1929
Mailing address
12357 W DIXIE HWY, NORTH MIAMI, FL 33161-5428
(917) 596-1929

Taxonomy

Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary

Other

Enumeration date
06/09/2017
Last updated
07/21/2022
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