Falling Leaves Recovery LLC
Substance Abuse Rehabilitation Facility in Miami Lakes, FL. Organization (NPI-2).
NPI number1346698693
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1346698693
- Entity type
- Organization (NPI-2)
- Legal business name
- Falling Leaves Recovery LLC
- Organization subpart
- No
- Enumeration date
- May 26, 2016
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 1302 | FL | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 1302 | FL |
Other names
- Fallen Leaves Recovery LLC (Doing Business As)
Practice location
15485 Eagle Nest LnSuite 210 & 230
Miami Lakes, FL 33014-2247
Phone 786-332-2218 · Fax 786-332-4994
Mailing address
5079 N Dixie Hwy198
Oakland Park, FL 33334-4000
Phone 786-332-2218 · Fax 954-357-3624
Authorized official
Mark Sheppard
Cfo
8322893350
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