| Bhg Lxxxvi, Llc | |
|
3811 North Harrison Street Obot Room #100 Davenport IA 52806-5911 | |
| (563) 388-8000 | |
| (563) 388-8002 |
| Full Name | Bhg Lxxxvi, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3811 North Harrison Street, Davenport, Iowa |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Lxxxvi, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Bhg Lxxxvi, Llc 3811 North Harrison Street Obot Room #100 Davenport IA 52806-5911 Ph: (563) 388-8000 |
| NPI Number | 1093421026 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093421026 | NPI | - | NPPES |
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