| Excellent Life Design Corporation | |
|
1540 International Pkwy Suite 2000 Lake Mary FL 32746-5096 | |
| (407) 536-5120 | |
| (810) 222-0685 |
| Full Name | Excellent Life Design Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1540 International Pkwy, Lake Mary, Florida |
| Authorized Official Name and Position | Rhonda Baker (CEO) |
| Authorized Official Contact | 4075365120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellent Life Design Corporation 1540 International Pkwy Suite 2000 Lake Mary FL 32746-5096 Ph: (407) 536-5120 | Excellent Life Design Corporation 1540 International Pkwy Suite 2000 Lake Mary FL 32746-5096 Ph: (407) 536-5120 |
| NPI Number | 1285976340 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 03/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285976340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MT2629 (Florida) | Primary |
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