Lifeworthy Llc | |
311 1/2 Conant St Ste 205 Maumee OH 43537-3378 | |
(567) 229-3467 | |
Not Available |
Full Name | Lifeworthy Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 311 1/2 Conant St Ste 205, Maumee, Ohio |
Authorized Official Name and Position | Juanita Pettaway (OWNER) |
Authorized Official Contact | 5672293467 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifeworthy Llc 311 1/2 Conant St Ste 205 Maumee OH 43537-3378 Ph: (567) 229-3467 | Lifeworthy Llc 311 1/2 Conant St Ste 205 Maumee OH 43537-3378 Ph: (567) 229-3467 |
NPI Number | 1417573221 |
---|---|
Provider Enumeration Date | 06/18/2020 |
Last Update Date | 10/17/2024 |
Certification Date | 10/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417573221 | NPI | - | NPPES |
0428892 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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