Clean Life Detox
LBN: Clean Life Detox
Clean Life Detox is an health care organization with primary practice located at 405 7Th Ave Sw , Largo FL 33770-3400. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty.
Clean Life Detox can be contacted via phone (727) 501-1040, or through Smith, Mickoria via phone (561) 420-7501.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
NPI number | 1215455928 |
---|---|
LBN Legal business name | Clean Life Detox |
DBA Doing business as | |
Authorized official | Smith, Mickoria |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 1st, 2017 |
Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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