NPI | 1568280154 |
---|---|
Other Name | ESTHER ROSS |
Doing Business As | LIFESTYLE INDEPENDENT LIVING |
Other Name | ANDREA ROGERS |
Entity Type | Organization |
Authorized Contact | ESTHER LARAYNE ROSS Owner 947-517-0088 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2024-10-01 |
Last Update Date | 2024-10-01 |