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NPI Code Detail

MEDICARE: SD HEALTH HOLDINGS

MEDICARE: SD HEALTH HOLDINGS
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
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1568191658
Entity Type Code : Organization
Provider Name (Legal Business Name) : SD HEALTH HOLDINGS
Provider Business Mailing Address
First Line : 3471 N FEDERAL HWY STE 410
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33306-1050
Country : US
Telephone Number : 954-641-5366
Fax Number : 954-306-3886
Provider Business Practice Location Address
First Line : 2821 LANGE AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-3109
Country : US
Telephone Number : 954-641-5366
Fax Number :
Authorized Official
Title or Position : CEO
Name : ERIC LEON
Credential :
Telephone Number : 954-641-5366
Provider Enumeration Date : 06/06/2022
Last Update Date : 06/29/2023

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Directions to “SD HEALTH HOLDINGS ” Practice Location

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