1750791505 WALLOON LAKE RECOVERY LODGE, LLC
Substance Abuse Rehabilitation Facility
Active
Basic Information
- Organization Name
- WALLOON LAKE RECOVERY LODGE, LLC
- Enumeration Date
- May 2, 2014
- Last Update
- March 25, 2024
- Authorized Official
- JACKIE DEE WURST RMA
FINANCIAL DIRECTOR
Phone: (231) 758-4566
Practice Location
- Address
- 2329 CENTER ST
BOYNE FALLS, MI 497139268 - Phone
- (231) 535-2822
- Fax
- (231) 535-2372
Mailing Address
- Address
- 2329 CENTER ST
BOYNE FALLS, MI 497139268 - Phone
- (231) 535-2822
- Fax
- (231) 535-2372
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Counselor | 101Y00000X | Counselor | N/A | N/A | No |
| Psychologist | 103T00000X | Psychologist | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | N/A | N/A | No |
| Non-emergency Medical Transport (VAN) | 343900000X | Non-emergency Medical Transport (VAN) | N/A | N/A | No |
| Substance Abuse Rehabilitation Facility | 324500000X | Substance Abuse Rehabilitation Facility | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0150024 | 01 | MI | LARA LICENSE |
| SA0690033 | 01 | MI | LARA LICENSE |
| SA0240041 | 01 | MI | LARA LICENSE |
| 5801000334 | 01 | MI | TRANSPORTATION |
| SA0150031 | 01 | MI | LARA LICENSE |
Additional Practice Locations
218 Water St
Cheboygan, MI 497211606
Cheboygan, MI 497211606
Phone: (231) 751-0070
2594 Springvale Rd
Boyne Falls, MI 497139684
Boyne Falls, MI 497139684
Phone: (231) 535-2822
8486 M 119
Harbor Springs, MI 497408508
Harbor Springs, MI 497408508
Phone: (231) 545-4141
1619 West M32
gaylord, MI 49735
gaylord, MI 49735
Phone: (231) 535-2822
811 Sammons St
Cheboygan, MI 49721
Cheboygan, MI 49721
Phone: (231) 535-2822
906 E Bellows St
MT Pleasant, MI 488583940
MT Pleasant, MI 488583940
Phone: (231) 535-2822
910 E Bellows St
MT Pleasant, MI 488583930
MT Pleasant, MI 488583930
Phone: (231) 535-2822
2480 W Campus Dr
MT Pleasant, MI 488585414
MT Pleasant, MI 488585414
Phone: (231) 535-2822
Frequently Asked Questions
What is WALLOON LAKE RECOVERY LODGE, LLC's NPI number?
WALLOON LAKE RECOVERY LODGE, LLC's NPI number is 1750791505.
Which doctor has NPI number 1750791505?
The doctor with NPI number 1750791505 is WALLOON LAKE RECOVERY LODGE, LLC.
What is WALLOON LAKE RECOVERY LODGE, LLC's practice address?
WALLOON LAKE RECOVERY LODGE, LLC's practice address is 2329 CENTER ST, BOYNE FALLS, MI, 497139268.
Which doctor practices at 2329 CENTER ST, BOYNE FALLS, MI, 497139268?
WALLOON LAKE RECOVERY LODGE, LLC practices at 2329 CENTER ST, BOYNE FALLS, MI, 497139268.
What is WALLOON LAKE RECOVERY LODGE, LLC's phone number?
WALLOON LAKE RECOVERY LODGE, LLC's phone number is (231) 535-2822.
Who is (231) 535-2822?
(231) 535-2822 is the phone number for WALLOON LAKE RECOVERY LODGE, LLC.
What is WALLOON LAKE RECOVERY LODGE, LLC's specialty?
WALLOON LAKE RECOVERY LODGE, LLC's specialty is Substance Abuse Rehabilitation Facility.
What type of doctor is WALLOON LAKE RECOVERY LODGE, LLC?
WALLOON LAKE RECOVERY LODGE, LLC is a Substance Abuse Rehabilitation Facility.
Is WALLOON LAKE RECOVERY LODGE, LLC a Substance Abuse Rehabilitation Facility?
Yes, WALLOON LAKE RECOVERY LODGE, LLC is a Substance Abuse Rehabilitation Facility.
Is WALLOON LAKE RECOVERY LODGE, LLC still practicing?
Yes, WALLOON LAKE RECOVERY LODGE, LLC is currently practicing.
Is WALLOON LAKE RECOVERY LODGE, LLC accepting new patients?
WALLOON LAKE RECOVERY LODGE, LLC may be accepting new patients. Please call their office at (231) 535-2822 to inquire about availability.
Is NPI 1750791505 still active?
Yes, NPI 1750791505 is currently active.
Where does WALLOON LAKE RECOVERY LODGE, LLC practice?
WALLOON LAKE RECOVERY LODGE, LLC practices in BOYNE FALLS, MI.