# LIFE GATE HOLISITC LIVING CENTER, INC.

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

## Provider details

- **NPI number:** 1235615410
- **Authorized official:** KARINA BELENO CARNEY LIC. AC., FABORM (OWNER/DIRECTOR)
- **Authorized official phone:** (978) 448-0405

## Contact information

- **Practice address:** 66 BOSTON RD, GROTON, MA 01450-1862
- **Practice address phone:** (978) 294-9291
- **Mailing address:** 66 BOSTON RD, GROTON, MA 01450-1862
- **Mailing address phone:** (978) 294-9291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 226478 | MA | Yes |

## Other

- **Enumeration date:** 07/11/2018
- **Last updated:** 07/11/2018