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Organization
TREE OF LYFE CONSULTING LLC
Active
Organization
TREE OF LYFE CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBREA S BOSTIC (MANAGER)
(352) 973-0693
Entity
Organization
Contact information
Practice address
109 EDGE CT, GROVELAND, FL 34736-2520
(352) 973-0693
Mailing address
711 W MAIN ST # 1056, LEESBURG, FL 34748-5128
(352) 973-0693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
—
246RP1900X
Phlebotomy Technician
—
—
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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