Organization
FIT FOR LIFE MINISTRIES INC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E BLOUNT PROFESSIONAL TRAINER (PRESIDENT)
(318) 347-2208
Entity
Organization
Contact information
Practice address
600 COMMON ST, SHREVEPORT, LA 71101-3432
(318) 347-2208
Mailing address
600 COMMON ST, SHREVEPORT, LA 71101-3432
(318) 347-2208
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
LA
Other
Enumeration date
12/29/2015
Last updated
07/21/2022
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