Organization
EXCELLENT LIFE DESIGN CORPORATION
Active
Organization
EXCELLENT LIFE DESIGN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA BAKER (CEO)
(407) 536-5120
Entity
Organization
Contact information
Practice address
1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL 32746-5096
(407) 536-5120
(810) 222-0685
Mailing address
1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL 32746-5096
(407) 536-5120
(810) 222-0685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MT2629
FL
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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