Organization
THE L.I.F.E. GROUP, LLC
Active
Organization
THE L.I.F.E. GROUP, LLC
Active
Other names
The LIVING INDEPENDENT IN A FAMILY ENVIORNMENT GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
HAKIM ABDUL GLOVER (CEO)
(267) 881-7013
Entity
Organization
Contact information
Practice address
850 EUCLID AVE STE 8192431, CLEVELAND, OH 44114-3306
(267) 881-7013
Mailing address
850 EUCLID AVE STE 8192431, CLEVELAND, OH 44114-3306
(267) 881-7013
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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