| NPI | 1578835278 |
|---|---|
| Doing Business As | LIFE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS TAYLOR BLAKE Owner 803-520-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3261) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |