| Lifeway Programs Inc | |
|
15300 Sw 288th St Homestead FL 33033-1355 | |
| (305) 224-6402 | |
| (305) 328-8345 |
| Full Name | Lifeway Programs Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15300 Sw 288th St, Homestead, Florida |
| Authorized Official Name and Position | Mayelin Lima (PRESIDENT/CEO) |
| Authorized Official Contact | 3056063313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeway Programs Inc 30722 Sw 149th Pl Homestead FL 33033-4412 Ph: (305) 224-6402 | Lifeway Programs Inc 15300 Sw 288th St Homestead FL 33033-1355 Ph: (305) 224-6402 |
| NPI Number | 1467096750 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 6305268467 |
|---|---|
| Medicare Enrollment ID | O20200731001244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467096750 | NPI | - | NPPES |
| Provider Name | Mayelin Lima |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669629671 PECOS PAC ID: 7517005580 Enrollment ID: I20091111000571 |
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