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Organization
LIFE ESSENTIAL LLC
Active
Organization
LIFE ESSENTIAL LLC
Active
Other names
Life essential group, Life essential
Organization subpart
No
Provider details
NPI number
Authorized official
ALTHEDA LATORRIAN SMITH MEDICAL ASSISTANT (MANAGER)
(754) 422-3608
Entity
Organization
Contact information
Practice address
5851 HOLMBERG RD APT 3122, PARKLAND, FL 33067-4516
(754) 422-3608
Mailing address
6574 N STATE ROAD 7 # 344, COCONUT CREEK, FL 33073-3625
(754) 422-3608
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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