10D2138902 CLIA NUMBER - 1000 HILLS RECOVERY & TREATMENT CENTER, LLC

Laboratory Demographics

CLIA Number: 10D2138902

Facility Name: 1000 HILLS RECOVERY & TREATMENT CENTER, LLC

Facility Address:
2215 N MILITARY TRAIL STE B
WEST PALM BEACH, FL
ZIP 33409
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Facility Phone Number: 561 328-3932

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1932625746

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2138902
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	1000 HILLS RECOVERY & TREATMENT CENTER, LLC
Street	2215 N MILITARY TRAIL STE B
City	WEST PALM BEACH
State	FL
ZIP	33409
Phone	561 328-3932
CertificateType	4
CertificateEffectiveDate	10/26/2023
CertificateExpirationDate	10/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024