# ESSENCE OF LIFE HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013555077
- **Authorized official:** EBONI DAVIS FNP-BC (NURSE PRACTIONER/OWNER)
- **Authorized official phone:** (248) 688-4460

## Contact information

- **Practice address:** 3860 SHERIDAN ST STE B, HOLLYWOOD, FL 33021-3624
- **Practice address phone:** (248) 688-4460
- **Mailing address:** 4343 N AUSTRALIAN AVE, WEST PALM BEACH, FL 33407-3623
- **Mailing address phone:** (248) 688-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2019
- **Last updated:** 11/23/2022