Life Provisions, Inc.
NPI #1619350493 in Windsor Mill, Maryland
Provider Information
- NPI Number
- 1619350493
- Entity Type
- Organization
- Organization Name
- Life Provisions, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 30, 2015
- Last Updated
- Jun 30, 2015
Practice Location
- Address
- 3211 GARTSIDE AVE
- City
- Windsor Mill
- State
- Maryland
- ZIP Code
- 21244-2824
- Phone
- (704) 297-5202
Authorized Official
- Name
- CASSANDRA BELL-GASH
- Title
- OWNER
- Phone
- (704) 297-5202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Home Health |
| Community/Behavioral Health |
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