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NPI Code Detail

MEDICARE: GRATITUDE HOUSE, INC

MEDICARE: GRATITUDE HOUSE, INC
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 FacilityFL
2324500000XSubstance Abuse Rehabilitation Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932223294
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRATITUDE HOUSE, INC
Provider Business Mailing Address
First Line : 1700 N DIXIE HWY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-6504
Country : US
Telephone Number : 561-833-6826
Fax Number : 561-832-4087
Provider Business Practice Location Address
First Line : 1700 N DIXIE HWY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-6504
Country : US
Telephone Number : 561-833-6826
Fax Number : 561-832-4087
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. LINDA J KANE
Credential :
Telephone Number : 561-833-6826
Provider Enumeration Date : 03/19/2007
Last Update Date : 04/23/2014

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Directions to “GRATITUDE HOUSE, INC ” Practice Location

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