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GUEST HOUSE OCALA OUTPATIENT RECOVERY LLC NPI 1295374940


NPI Information

NPI: 1295374940
Provider Name: GUEST HOUSE OCALA OUTPATIENT RECOVERY, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 10D2167854

Address:
2233 E FORT KING ST STE A
OCALA, FL
ZIP 34471
Phone: (855) 483-7800
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GUEST HOUSE OCALA OUTPATIENT RECOVERY, LLC is an adult mental health clinic center in Ocala, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. GUEST HOUSE OCALA OUTPATIENT RECOVERY, LLC NPI is 1295374940. The provider is registered as an organization entity type.

The provider's business location address is:

2233 E FORT KING ST STE A
OCALA, FL
ZIP 34471-563
Phone: (855) 483-7800

The provider's authorized official is Judith T Crane .
The authorized official title is Ceo and has the following contact phone number (855) 483-7800.

The CLIA number assigned to this NPI record is 10D2167854 - other - samh outpatient facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2019 and was last updated on 12/29/2019.


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
1261QM0850XClinic/CenterAdult Mental HealthYes
2324500000XSubstance Abuse Rehabilitation FacilityNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11003471202OTHERFLORIDANPI NUMBER

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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