NPI | 1497342539 |
---|---|
Doing Business As | AMAZING LYF SUPPORT SERVICES LLC |
Entity Type | Organization |
Authorized Contact | AARON WORLANYO ODUM CEO 571-409-9991 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
261QA0600X Clinic/Center, Adult Day Care | |
Enumeration Date | 2020-12-23 |
Last Update Date | 2020-12-23 |