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Organization

WAY OF LIFE TCM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TREVOR SEATON THOMAS (OWNER/PRESIDENT)
(321) 217-7632
Entity
Organization

Contact information

Practice address
410 N DILLARD ST, SUITE 104, WINTER GARDEN, FL 34787-2853
(407) 287-6075
(407) 347-2093
Mailing address
410 N DILLARD ST, SUITE 104, WINTER GARDEN, FL 34787-2853
(407) 287-6075
(407) 347-2093

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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