| NPI | 1215689294 |
|---|---|
| Former Legal Business Name | LEAD4LIFE, INC |
| Entity Type | Organization |
| Authorized Contact | TAMARA DENISE REYNOLDS Office Manager 443-978-7864 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |