| NPI | 1780251223 |
|---|---|
| Doing Business As | LIFE REJUVENATED |
| Entity Type | Organization |
| Authorized Contact | SIMON MITTAL President 507-363-9367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |