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NPI Code Detail

MEDICARE: BLUE HILLS RECOVERY LLC

MEDICARE: BLUE HILLS RECOVERY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1174112569
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE HILLS RECOVERY LLC
Provider Business Mailing Address
First Line : PO BOX 3864
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33402-3864
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 474 GROVE ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-1214
Country : US
Telephone Number : 866-461-4474
Fax Number :
Authorized Official
Title or Position : CEO
Name : DAVID FARACHE
Credential :
Telephone Number : 786-942-2110
Provider Enumeration Date : 01/11/2021
Last Update Date : 02/26/2024

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Directions to “BLUE HILLS RECOVERY LLC ” Practice Location

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