Organization
LIVONIA LIFE CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL MERINO (OWNER)
(734) 686-2036
Entity
Organization
Contact information
Practice address
34441 8 MILE RD, SUITE 104, LIVONIA, MI 48152-4013
(248) 442-0662
(248) 442-0663
Mailing address
34441 8 MILE RD, SUITE 104, LIVONIA, MI 48152-4013
(248) 442-0662
(248) 442-0663
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MI
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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