Organization
LIVING FULLY, LLC
Active
Other names
Living Fully, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIGUELINA DALTON (OWNER)
(845) 304-5189
Entity
Organization
Contact information
Practice address
1771 WILDERNESS RD, LANCASTER, PA 17603-9324
(717) 862-8812
Mailing address
1771 WILDERNESS RD, LANCASTER, PA 17603-9324
(845) 304-5189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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