Life United, LLC.
Community/Behavioral Health in Lake Mary, FL. Organization (NPI-2).
NPI number1689074676
StatusActive
Last updated in NPPESOct 4, 2016
Details
- NPI
- 1689074676
- Entity type
- Organization (NPI-2)
- Legal business name
- Life United, LLC.
- Organization subpart
- No
- Enumeration date
- Aug 27, 2014
- Last updated
- Oct 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
101 Timberlachen CirSuite 201
Lake Mary, FL 32746-6124
Phone 407-796-1232
Mailing address
576 Silvergate LoopLake Mary, FL 32746-3742
Phone 407-796-1232
Authorized official
Shawn Riker
Managing Member
4077961232
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