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LANTANA WELLNESS NPI 1992465215


NPI Information

NPI: 1992465215
Provider Name: LANTANA WELLNESS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2262571

Address:
828 MINNESOTA ST
LANTANA, FL
ZIP 33462
Phone: (855) 740-1181
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LANTANA WELLNESS is a substance abuse rehabilitation facility in Lantana, 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. LANTANA WELLNESS NPI is 1992465215. The provider is registered as an organization entity type.

The provider's business location address is:

828 MINNESOTA ST
LANTANA, FL
ZIP 33462-732
Phone: (855) 740-1181

The provider's authorized official is Brandan Freeman .
The authorized official title is Coo and has the following contact phone number (855) 740-1181.

The CLIA number assigned to this NPI record is 10D2262571 - other - drug and alcohol treatmen with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2021 and was last updated on 12/28/2021.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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

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