The Lifeline Center, Llc | |
2126 W Jody Rd Florence SC 29501-2032 | |
(843) 731-9100 | |
(843) 879-0613 |
Full Name | The Lifeline Center, Llc |
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Speciality | Behavior Analyst |
Location | 2126 W Jody Rd, Florence, South Carolina |
Authorized Official Name and Position | Megan Munson-matthews (OWNER) |
Authorized Official Contact | 8437319100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Lifeline Center, Llc Po Box 4167 Florence SC 29502-4167 Ph: (843) 731-9100 | The Lifeline Center, Llc 2126 W Jody Rd Florence SC 29501-2032 Ph: (843) 731-9100 |
NPI Number | 1790486272 |
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Provider Enumeration Date | 03/13/2023 |
Last Update Date | 03/13/2023 |
Certification Date | 03/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790486272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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