The Bougainvilla House, Inc
The Bougainvilla House, Inc is a Recovery Care Clinic/Center in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1727 SE 4th AveFort Lauderdale, FL 33316-2515
Phone: (954) 764-7337
Fax: (954) 764-6283
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Recovery Care Clinic/Center (primary) | Taxonomy 261QR0800X |
|---|---|
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X · Licence 1706AD094501 (FL) |
Record details
| NPI number | 1770949075 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keli Kornmiller — Senior Credentialing Specialist · (561) 672-8345 |
| NPI enumerated | January 4, 2016 |
| Last updated in NPPES | January 27, 2016 |
| Mailing address | 1721 Se 4th Ave, Fort Lauderdale, FL 33316-2515 |