Life Continues Llc | |
412 W 5th St Portageville MO 63873-1108 | |
(323) 854-8587 | |
Not Available |
Full Name | Life Continues Llc |
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Speciality | Community/behavioral Health |
Location | 412 W 5th St, Portageville, Missouri |
Authorized Official Name and Position | Robert Miller (PROVIDER) |
Authorized Official Contact | 2038288931 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Continues Llc 412 W 5th St Portageville MO 63873-1108 Ph: (323) 854-8587 | Life Continues Llc 412 W 5th St Portageville MO 63873-1108 Ph: (323) 854-8587 |
NPI Number | 1689299372 |
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Provider Enumeration Date | 06/09/2020 |
Last Update Date | 06/09/2020 |
Certification Date | 06/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689299372 | NPI | - | NPPES |
1063954014 | Other | MO | PARTNER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |