NPI 1023820073

Jessica Lane Re, LLC

Organisation Substance Abuse Rehabilitation Facility Gladstone, MO

Practice location

Address: 305 NW Englewood CT STE 300, Gladstone, MO 64118-4000
Phone: (754) 300-3120
Fax: (888) 919-4431
Mailing address: 2200 N Commerce Pkwy STE 200, Weston, FL 33326-3258

Authorised official

Name: Belina Surujon
Title: Vp Contracting & Licensing
Phone: (305) 785-5520

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Missouri →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

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Registry record

NPI: 1023820073
Entity type: Organization
NPI issued: 24 Jan 2025
Record last updated: 11 May 2026

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.