| NPI | 1760808083 |
|---|---|
| Other Name | LIGHT AND LIFE WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW T LOGAN President And CEO 864-725-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2021-12-14 |