| NPI | 1720881212 |
|---|---|
| Former Legal Business Name | MY LIFE FITNESS |
| Entity Type | Organization |
| Authorized Contact | PAOLA AMBROSE Owner, Rdn, Ldn 708-819-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 174200000X Meals |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |