Jessica Lane Re, Llc | |
11901 Jessica Ln Raytown MO 64138-2639 | |
(754) 300-3120 | |
(888) 919-4431 |
Full Name | Jessica Lane Re, Llc |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 11901 Jessica Ln, Raytown, Missouri |
Authorized Official Name and Position | Belina Surujon (CONTRACTING & LICENSING DIRECTOR) |
Authorized Official Contact | 3057855520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jessica Lane Re, Llc 100 Se 3rd Ave Ste 1800 Ft Lauderdale FL 33394-0011 Ph: (305) 785-5520 | Jessica Lane Re, Llc 11901 Jessica Ln Raytown MO 64138-2639 Ph: (754) 300-3120 |
NPI Number | 1760197644 |
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Provider Enumeration Date | 01/16/2023 |
Last Update Date | 08/14/2025 |
Certification Date | 08/14/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760197644 | NPI | - | NPPES |
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