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Organization

LOTUS RECOVERY HOMES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN DAVID NEEB (EXECUTIVE DIRECTOR)
(920) 717-8283
Entity
Organization

Contact information

Practice address
1111 MARSHALL ST, MANITOWOC, WI 54220-5237
(920) 717-5107
Mailing address
1111 MARSHALL ST, MANITOWOC, WI 54220-5237
(920) 717-5107

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
07/30/2026
Last updated
08/11/2026
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