Organization
RESILIENT LIFE CARE, LLC
Active
Other names
Resilient Life Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD FIFE (CFO)
(734) 482-1200
Entity
Organization
Contact information
Practice address
1512 W HIGHWAY 42, LA GRANGE, KY 40031-9554
(512) 826-1243
Mailing address
17187 N LAUREL PARK DR STE 160, LIVONIA, MI 48152-2692
(734) 482-1200
(734) 482-3202
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/29/2018
Last updated
03/28/2022
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