| NPI | 1437789716 |
|---|---|
| Doing Business As | LIFETRACK WELLNESS INC |
| Entity Type | Organization |
| Authorized Contact | FAISAL AIDEED Owner 952-649-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2020-01-25 |