| NPI | 1043581903 |
|---|---|
| Former Legal Business Name | KEY LIFE CONCEPTS |
| Entity Type | Organization |
| Authorized Contact | CARRIE MARIE HOUSEMAN Owner 321-443-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 11085) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |