Organization
SOUTHERN ORACLE, LLC
Active
Organization
SOUTHERN ORACLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN FREEMAN (OWNER)
(520) 266-0141
Entity
Organization
Contact information
Practice address
25005 N PUMA CIR, RIO VERDE, AZ 85263-7096
(520) 266-0141
Mailing address
4401 E CAMINO PRINCIPAL, SIERRA VISTA, AZ 85650-9437
(520) 266-0141
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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