| NPI | 1457758724 |
|---|---|
| Other Name | LIFELONG ASHBY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARTY LYNCH Chief Executive Officer 510-981-4123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2022-03-31 |