Organization
ORGANIC LIFE BODY WORKS, LLC
Active
Other names
Good Life Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE LIGHTFOOT (CEO)
(301) 490-0603
Entity
Organization
Contact information
Practice address
8600 FOUNDRY ST, SAVAGE, MD 20763-9512
(301) 490-0603
(301) 490-0603
Mailing address
8600 FOUNDRY ST, PO BOX 2014, SAVAGE, MD 20763-9512
(301) 490-0603
(301) 490-0603
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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