| NPI | 1831573534 |
|---|---|
| Doing Business As | MOHAWK HEALTHY LIFE CENTER-DANVILLE |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-2528 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: VA 0024172488) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2021-05-03 |