# IMAGINE LIFE

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

## Provider details

- **NPI number:** 1942647870
- **Authorized official:** MRS. KRYSTAL LEE ODELL M.ED. (OWNER)
- **Authorized official phone:** (609) 529-6510

## Contact information

- **Practice address:** 138 WALNFORD RD, ALLENTOWN, NJ 08501-1905
- **Practice address phone:** (609) 529-6510
- **Mailing address:** 138 WALNFORD RD, ALLENTOWN, NJ 08501-1905
- **Mailing address phone:** (609) 529-6510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/02/2013
- **Last updated:** 06/02/2013