Organization
COACHING 4 LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEVONTE LONG (OWNER)
(619) 928-4299
Entity
Organization
Contact information
Practice address
31241 CASERA CT, MENIFEE, CA 92584-8291
(619) 327-9144
Mailing address
31241 CASERA CT, MENIFEE, CA 92584-8291
(619) 327-9144
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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