| NPI | 1306560404 |
|---|---|
| Former Legal Business Name | LIFE LONG LIVING, LLC |
| Entity Type | Organization |
| Authorized Contact | KATHERINE DAVIS Owner 319-432-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-21 |