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Organization
RESILIENT LIFE CARE, LLC
Active
Organization
RESILIENT LIFE CARE, LLC
Active
Other names
Resilient Life Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD FIFE (CFO)
(734) 482-1200
Entity
Organization
Contact information
Practice address
1512 W HIGHWAY 42, LA GRANGE, KY 40031-9554
(512) 826-1243
Mailing address
17187 N LAUREL PARK DR STE 160, LIVONIA, MI 48152-2692
(734) 482-1200
(734) 482-3202
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/29/2018
Last updated
03/28/2022
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