| Recovery Village At Palmer Lake, Llc | |
|
630 Plaza Dr Highlands Ranch CO 80129-2379 | |
| (754) 300-3120 | |
| (888) 919-4431 |
| Full Name | Recovery Village At Palmer Lake, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 630 Plaza Dr, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Belina Surujon (CONTRACTING & LICENSING DIRECTOR) |
| Authorized Official Contact | 7543003120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Village At Palmer Lake, Llc 100 Se 3rd Ave Ste 1800 Ft Lauderdale FL 33394-0011 Ph: (754) 300-3120 | Recovery Village At Palmer Lake, Llc 630 Plaza Dr Highlands Ranch CO 80129-2379 Ph: (754) 300-3120 |
| NPI Number | 1457008526 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457008526 | NPI | - | NPPES |
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