| Basic Life Support Therapy Llc | |
|
3561 Powerline Rd Oakland Park FL 33309-5928 | |
| (954) 579-9935 | |
| Not Available |
| Full Name | Basic Life Support Therapy Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3561 Powerline Rd, Oakland Park, Florida |
| Authorized Official Name and Position | Katherine Maughn (ADM) |
| Authorized Official Contact | 9545799935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basic Life Support Therapy Llc 3561 Powerline Rd Oakland Park FL 33309-5928 Ph: (954) 579-9935 | Basic Life Support Therapy Llc 3561 Powerline Rd Oakland Park FL 33309-5928 Ph: (954) 579-9935 |
| NPI Number | 1366991416 |
|---|---|
| Provider Enumeration Date | 09/30/2016 |
| Last Update Date | 09/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366991416 | NPI | - | NPPES |
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