Organization
LIFESTYLE INSTITUTE
Active
Parent organization
JFK HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
JFK HEALTH
Authorized official
MR. RICHARD C SMITH (CFO)
(732) 321-7000
Entity
Organization
Contact information
Practice address
80 JAMES ST, 4TH FLOOR, EDISON, NJ 08820-3938
(732) 321-7000
(732) 744-5830
Mailing address
80 JAMES ST, 4TH FLOOR, EDISON, NJ 08820-3938
(732) 321-7000
(732) 744-5830
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
25MG00038100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103200
—
NJ
Enumeration date
05/09/2007
Last updated
07/29/2016
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