| NPI | 1912579822 |
|---|---|
| Doing Business As | LIFES ENERGY WELLNESS CENTER INC. |
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIA KELLEY-FREEMAN CEO 800-867-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| 171M00000X Case Manager/Care Coordinator | |
| 225400000X Rehabilitation Practitioner | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |