Middle River Sober Living

LBN: Middle River Sober Living
Middle River Sober Living is an health care organization with primary practice located at 101 Se 26Th St , Fort Lauderdale FL 33316-3972. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Middle River Sober Living can be contacted via phone (954) 560-5238, or through Keane, Daniel via phone (908) 783-3923.

Contact Information

Primary practice address
101 Se 26Th St Fort Lauderdale FL 33316-3972
Phone: (954) 560-5238
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keane, Daniel
Phone: (908) 783-3923

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 10D2076037 Florida

Profile Details

NPI number 1568877561
LBN Legal business name Middle River Sober Living
DBA Doing business as
Authorized official Keane, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2014
Last updated Jun 27th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568877561 NPPES
Florida Other 10D2076037 FL STATE CLIA LICENSE

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