Destination Life Llc

NPI 1114328416 - Home Health - 251E00000X

NPI Details
NPI 1114328416
Enumeration Date 09/06/2014
Last Updated 06/26/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ZEMELDA ZEMELDA
Position CEO,OWNER
Phone (817) 473-1312
Fax (844) 812-4427
Practice Location
1759 BROAD PARK CIR S
113
MANSFIELD TX, 76063-7833, US
Phone (817) 473-1312
Fax (844) 812-4427
Business Location
1759 BROAD PARK CIR S
113
MANSFIELD TX, 76063-7833, US
Phone (817) 473-1312
Fax (682) 422-3728
Toxanomy
Taxonomy Code 251E00000X
License State Texas
License Number =========
Remove 1114328416 NPI Number
 

According to our database, Destination Life Llc NPI is 1114328416, taxonomy code is 251E00000X and license number is =========, license state is located at Texas. Destination Life Llc physically located at 1759 Broad Park Cir S, Mansfield TX, 76063-7833. NPI Number 1033115704 has the healthcare provider type.

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1114328416 NPI number is provided on an as is basis without warranty of any kind. 1114328416 is maintained by the National Plan & Provider Enumeration System. The contents of Destination Life Llc are for informational purposes only.