Organization
LEAD 4 LIFE, INC.
Active
Parent organization
LEAD4LIFE, INC.
Other names
Lead4Life, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEAD4LIFE, INC.
Authorized official
TAMARA DENISE REYNOLDS (OFFICE MANAGER)
(443) 978-7864
Entity
Organization
Contact information
Practice address
100 CLEMWOOD ST, SALISBURY, MD 21804-6489
(443) 978-7864
(443) 859-8880
Mailing address
2096 GAITHER RD STE 110, ROCKVILLE, MD 20850-4027
(301) 672-4319
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201507201
—
MD
Enumeration date
01/21/2022
Last updated
01/21/2022
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