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THE GRAPEVINE HOUSE LLC NPI 1417203175


NPI Information

NPI: 1417203175
Provider Name: THE GRAPEVINE HOUSE, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
381 NE 5TH AVE
DELRAY BEACH, FL
ZIP 33483
Phone: (754) 201-2265
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THE GRAPEVINE HOUSE, LLC is a substance abuse rehabilitation facility in Delray Beach, 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. THE GRAPEVINE HOUSE, LLC NPI is 1417203175. The provider is registered as an organization entity type.

The provider's business location address is:

381 NE 5TH AVE
DELRAY BEACH, FL
ZIP 33483-532
Phone: (754) 201-2265

The provider's authorized official is Jose Flores .
The authorized official title is Account Specialist and has the following contact phone number (754) 201-2265.

The enumeration date for this NPI number is 7/31/2012 and was last updated on 7/31/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility1550AD290601FLORIDAYes

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: 4/28/2024

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