| Love Your Life, Llc | |
|
1234 Del Este Ave Suite 101 Denham Springs LA 70726-4828 | |
| (225) 667-5454 | |
| Not Available |
| Full Name | Love Your Life, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1234 Del Este Ave, Denham Springs, Louisiana |
| Authorized Official Name and Position | Tammy Mayo (CEO) |
| Authorized Official Contact | 2256675454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Your Life, Llc 4336 North Blvd Ste 104 Baton Rouge LA 70806-3920 Ph: (225) 364-7767 | Love Your Life, Llc 1234 Del Este Ave Suite 101 Denham Springs LA 70726-4828 Ph: (225) 667-5454 |
| NPI Number | 1902276777 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902276777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 026311 (Louisiana) | Primary |
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