Life Solutions Outpatient Corp
Clinic/Center, Rehabilitation, Substance Use Disorder in Tallahassee, FL. Organization (NPI-2).
NPI number1184005803
StatusActive
Last updated in NPPESJun 18, 2015
Details
- NPI
- 1184005803
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Solutions Outpatient Corp
- Organization subpart
- No
- Enumeration date
- Jun 18, 2015
- Last updated
- Jun 18, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | 0237ad383201 | FL | Yes |
Practice location
1347 E Tennessee StTallahassee, FL 32308-5107
Phone 850-583-5388 · Fax 850-583-5388
Mailing address
1347 E Tennessee StTallahassee, FL 32308-5107
Phone 850-583-5388 · Fax 850-583-5388
Authorized official
Taylor E Gaines
Chief Executive Officer
8554543376
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