| Life United, Llc. | |
|
101 Timberlachen Cir Suite 201 Lake Mary FL 32746-6124 | |
| (407) 796-1232 | |
| Not Available |
| Full Name | Life United, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Timberlachen Cir, Lake Mary, Florida |
| Authorized Official Name and Position | Shawn Riker (MANAGING MEMBER) |
| Authorized Official Contact | 4077961232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life United, Llc. 576 Silvergate Loop Lake Mary FL 32746-3742 Ph: (407) 796-1232 | Life United, Llc. 101 Timberlachen Cir Suite 201 Lake Mary FL 32746-6124 Ph: (407) 796-1232 |
| NPI Number | 1689074676 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689074676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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