| Lifelyft | |
|
4551 Route 42 Ste 1 Blackwood NJ 08012-1751 | |
| (856) 644-5880 | |
| Not Available |
| Full Name | Lifelyft |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4551 Route 42 Ste 1, Blackwood, New Jersey |
| Authorized Official Name and Position | Christian Mansaray (FOUNDER/CEO) |
| Authorized Official Contact | 8566445880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelyft 29 Aldridge Way Sewell NJ 08080-3335 Ph: () - | Lifelyft 4551 Route 42 Ste 1 Blackwood NJ 08012-1751 Ph: (856) 644-5880 |
| NPI Number | 1164265146 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164265146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
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