Live 4 Life INC
NPI #1093066912 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1093066912
- Entity Type
- Organization
- Organization Name
- Live 4 Life INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 2, 2012
- Last Updated
- Mar 6, 2017
Practice Location
- Address
- 2911 TURNER RD
- Address 2
- ST B6
- State
- Virginia
- ZIP Code
- 23224-2545
- Phone
- (804) 447-7235
Authorized Official
- Name
- JASON JACKSON
- Title
- CEO
- Phone
- (757) 816-7842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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