# NEW LEAF LIFE SERVICES, LLC

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

## Provider details

- **NPI number:** 1184514200
- **Authorized official:** MYLA TIMMS BSW (DIRECTOR)
- **Authorized official phone:** (260) 248-7788

## Contact information

- **Practice address:** 2100 E FOX DR, COLUMBIA CITY, IN 46725-2518
- **Practice address phone:** (260) 248-7788
- **Mailing address:** 2100 E FOX DR, COLUMBIA CITY, IN 46725-2518
- **Mailing address phone:** (260) 248-7788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2025
- **Last updated:** 07/09/2025