D-Life Fitness, LLC

NPI #1013347046 in Columbia, Missouri

Provider Information

NPI Number
1013347046
Entity Type
Organization
Organization Name
D-Life Fitness, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
D-LIFE FITNESS, LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Nov 12, 2013
Last Updated
Nov 12, 2013

Practice Location

Address
711 VANDIVER DR STE J&K
ZIP Code
65202-1593
Phone
(573) 289-7334

Authorized Official

Name
SHAMAR ELAINE RICH-HALL
Title
REGISTERED AGENT / BOOKKEEPER
Phone
(754) 214-1177

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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