Organization
PUR HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L COOPER (CEO)
(772) 999-8979
Entity
Organization
Contact information
Practice address
1581 OLD DIXIE HIGHWAY, VERO BEACH, FL 32960
(772) 971-9197
Mailing address
1581 OLD DIXIE HWY, VERO BEACH, FL 32960-3654
(772) 971-9197
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
04/09/2026
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