| Impact Lives Consulting Group Llc | |
|
11613 Sw 216th St Miami FL 33170-2933 | |
| (800) 460-2152 | |
| (800) 460-2152 |
| Full Name | Impact Lives Consulting Group Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 11613 Sw 216th St, Miami, Florida |
| Authorized Official Name and Position | Jolie Woodstock (DIRECTOR OF ACCOUNTING & H/R) |
| Authorized Official Contact | 8004602152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Lives Consulting Group Llc 11613 Sw 216th St Miami FL 33170-2933 Ph: (800) 460-2152 | Impact Lives Consulting Group Llc 11613 Sw 216th St Miami FL 33170-2933 Ph: (800) 460-2152 |
| NPI Number | 1578120440 |
|---|---|
| Provider Enumeration Date | 05/24/2019 |
| Last Update Date | 05/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578120440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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