Organization
HALLWAY OF LIFE RECOVERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACRESHA HALL M.D. (CEO)
(561) 908-6277
Entity
Organization
Contact information
Practice address
137 S SWINTON AVE, DELRAY BEACH, FL 33444-3669
(561) 908-6277
(561) 908-6277
Mailing address
23257 STATE ROAD 7, SUITE 204, BOCA RATON, FL 33428-5448
(561) 908-6277
(561) 908-6277
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10D2003348
FL
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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