Organization
LIFE365, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT EDWARD DICKS (CEO)
(888) 818-2322
Entity
Organization
Contact information
Practice address
1475 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85257-3538
(888) 818-2322
Mailing address
10105 E VIA LINDA STE 103-285, SCOTTSDALE, AZ 85258-5365
(888) 818-2322
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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