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SOUTH LAKE TAHOE RECOVERY AND REHABILITATION LLC

Lake Tahoe, CA

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Facility contact

Main phone
(831) 453-1026 Source
Directory address
2494 LAKE TAHOE BLVD., SUITE C3 Source
ZIP code
96150 Source
Map precision
California DHCS ArcGIS regulator geometry Source

California state authorization

State authority
California Department of Health Care Services Source
DHCS application number
090010AP Source
DHCS authorization type
Certified Source
Listed expiration date
2027-08-31 Source
DHCS program code
NON Source
Legal entity
SOUTH LAKE TAHOE RECOVERY AND REHABILITATION LLC Source
County
El Dorado County Source
DHCS target population
1.1 --- CO-ED Source
Incidental medical services
No Source
Adolescent waiver
No Source

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