Life Options

NPI 1265621049 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1265621049
Enumeration Date 10/17/2007
Last Updated 10/17/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHANIE NATASHA STEPHANIE
Position CEO
Phone (252) 945-9288
Fax
Practice Location
4743 ARIEL DR
GRIMESLAND NC, 27837-9107, US
Phone (252) 945-9288
Fax
Business Location
4743 ARIEL DR
GRIMESLAND NC, 27837-9107, US
Phone (252) 945-9288
Fax
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Life Options NPI is 1265621049, taxonomy code is 302R00000X Life Options physically located at 4743 Ariel Dr, Grimesland NC, 27837-9107. NPI Number 1033115704 has the healthcare provider type.

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1265621049 NPI number is provided on an as is basis without warranty of any kind. 1265621049 is maintained by the National Plan & Provider Enumeration System. The contents of Life Options are for informational purposes only.