Life Enrichment and Wellness Services
NPI #1295158699 in Loganville, Georgia
Provider Information
- NPI Number
- 1295158699
- Entity Type
- Organization
- Organization Name
- Life Enrichment and Wellness Services
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BCMM HEALTH
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 22, 2014
- Last Updated
- Jan 22, 2014
Practice Location
- Address
- 608 STONECREST DRIVE
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052
- Phone
- (678) 949-3184
Authorized Official
- Name
- MR. CARLOS PORTER
- Title
- OWNER
- Phone
- (678) 949-3184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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