Excellent Life Design Corporation
Community/Behavioral Health in Lake Mary, FL. Organization (NPI-2).
NPI number1285976340
StatusActive
Last updated in NPPESMar 26, 2013
Details
- NPI
- 1285976340
- Entity type
- Organization (NPI-2)
- Legal business name
- Excellent Life Design Corporation
- Organization subpart
- No
- Enumeration date
- Mar 26, 2013
- Last updated
- Mar 26, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | MT2629 | FL | Yes |
Practice location
1540 International PkwySuite 2000
Lake Mary, FL 32746-5096
Phone 407-536-5120 · Fax 810-222-0685
Mailing address
1540 International PkwySuite 2000
Lake Mary, FL 32746-5096
Phone 407-536-5120 · Fax 810-222-0685
Authorized official
Rhonda Baker
Ceo
4075365120
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