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URP LAKE WORTH LLC NPI 1326780883


NPI Information

NPI: 1326780883
Provider Name: URP LAKE WORTH LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2270145

Address:
4865 40TH WAY S
LAKE WORTH, FL
ZIP 33461
Phone: (549) 654-9072
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URP LAKE WORTH LLC is a substance abuse rehabilitation facility in Lake Worth, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. URP LAKE WORTH LLC NPI is 1326780883. The provider is registered as an organization entity type.

The provider's business location address is:

4865 40TH WAY S
LAKE WORTH, FL
ZIP 33461-301
Phone: (549) 654-9072
Fax: (954) 251-3718

The provider's authorized official is Kayla Macdonald .
The authorized official title is Coo and has the following contact phone number (954) 654-9072.

The CLIA number assigned to this NPI record is 10D2270145 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2022 and was last updated on 2/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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