| NPI | 1396398608 |
|---|---|
| Doing Business As | LIFE IS KETAFUL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM LOUIS SELF Owner 386-487-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-08-07 |