JD HOLDINGS NPI 1346795580

NPI Information

NPI: 1346795580
Provider Name: JD HOLDINGS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
634 EVERGREEN DR
LAKE PARK, FL
ZIP 33403
Phone: (786) 445-2241
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JD HOLDINGS is a substance abuse rehabilitation facility in Lake Park, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. JD HOLDINGS NPI is 1346795580. The provider is registered as an organization entity type.

The provider's business location address is:

634 EVERGREEN DR
LAKE PARK, FL
ZIP 33403-208
Phone: (786) 445-2241

The provider's authorized official is Jerimiah Sampson .
The authorized official title is Ceo and has the following contact phone number (786) 445-2241.

The enumeration date for this NPI number is 8/17/2016 and was last updated on 8/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility			FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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