Organization
HEALTHY LIFESTYLES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WHITEHEAD RN (MANAGING PARTNER)
(404) 964-6968
Entity
Organization
Contact information
Practice address
420 GORDON CHAPEL RD, HAWTHORNE, FL 32640-5424
(404) 964-6968
Mailing address
420 GORDON CHAPEL RD, HAWTHORNE, FL 32640-5424
(404) 964-6968
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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