JESSICA LANE RE, LLC

RAYTOWN, MO
NPI1760197644
Doing Business AsTHE RECOVERY VILLAGE KANSAS CITY
Entity TypeOrganization
Authorized ContactBELINA SURUJON
Contracting & Licensing Director
305-785-5520
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Additional Taxonomies323P00000X Psychiatric Residential Treatment Facility
Enumeration Date2023-01-16
Last Update Date2024-08-09
Business Address
JESSICA LANE RE, LLC
11901 JESSICA LN
RAYTOWN, MO 64138-2639
Phone number: 754-300-3120
Mailing Address
JESSICA LANE RE, LLC
100 SE 3RD AVE STE 1800
FT LAUDERDALE, FL 33394-0011
Phone number: 305-785-5520
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