Whalio Doctors

NPI 1003272519

Ultimate Lifestyle Transformation, LLC

Organisation Substance Abuse Rehabilitation Facility Jupiter, FL

Practice location

Address
600 Heritage Drive., Jupiter, FL 33458
Phone
(561) 727-9488
Fax
(561) 658-2435
Mailing address
309 Eagletone Estates Drive., Palm Beach Gardens, FL 33418

Authorised official

Name
Glenn Sands
Title
Owner
Phone
(561) 727-9488

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI
1003272519
Entity type
Organization
NPI issued
13 Jan 2016
Record last updated
10 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.