Organization
MODERN RECOVERY & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA IACULLO (BILLING)
(954) 415-8781
Entity
Organization
Contact information
Practice address
3215 NW 10TH TER STE 209B, OAKLAND PARK, FL 33309-5934
(954) 451-3073
Mailing address
3215 NW 10TH TER STE 209B, OAKLAND PARK, FL 33309-5934
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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