Marathon Life Services LLC
Community/Behavioral Health in Richmond, VA. Organization (NPI-2).
NPI number1548092265
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1548092265
- Entity type
- Organization (NPI-2)
- Legal business name
- Marathon Life Services LLC
- Organization subpart
- No
- Enumeration date
- Aug 20, 2024
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
715 E 4th St Ste 24Richmond, VA 23224-5559
Phone 804-738-1010
Mailing address
715 E 4th St Ste 24Richmond, VA 23224-5559
Phone 804-738-1010
Authorized official
Eric Hunter
Owner
8047381010
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