| Alive & Well Corp | |
|
10344 Vista Pines Loop Clermont FL 34711-9172 | |
| (813) 748-2912 | |
| Not Available |
| Full Name | Alive & Well Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10344 Vista Pines Loop, Clermont, Florida |
| Authorized Official Name and Position | Mellissa Latoya Jagrup (PROPRIETER) |
| Authorized Official Contact | 8137482912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alive & Well Corp Po Box 120682 Clermont FL 34712-0682 Ph: (813) 748-2912 | Alive & Well Corp 10344 Vista Pines Loop Clermont FL 34711-9172 Ph: (813) 748-2912 |
| NPI Number | 1295245520 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 09/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295245520 | NPI | - | NPPES |
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