Provider Demographics
NPI:1912592338
Name:REJOICE IN RECOVERY LLC
Entity Type:Organization
Organization Name:REJOICE IN RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, BSN, DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAULIEU
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:321-529-1933
Mailing Address - Street 1:PO BOX 314
Mailing Address - Street 2:
Mailing Address - City:MOUNT DORA
Mailing Address - State:FL
Mailing Address - Zip Code:32756-0314
Mailing Address - Country:US
Mailing Address - Phone:321-529-1933
Mailing Address - Fax:
Practice Address - Street 1:2600 W OLD US HIGHWAY 441 STE 314
Practice Address - Street 2:
Practice Address - City:MOUNT DORA
Practice Address - State:FL
Practice Address - Zip Code:32757-3548
Practice Address - Country:US
Practice Address - Phone:321-529-1933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health