Organization
RESTORE LIFE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LYNN JONES (EXECUTIVE ADMINISTRATOR)
(407) 234-5536
Entity
Organization
Contact information
Practice address
4340 N HIAWASSEE RD, ORLANDO, FL 32818-1702
(407) 284-3128
(407) 297-7887
Mailing address
4340 N HIAWASSEE RD, ORLANDO, FL 32818-1702
(407) 284-3128
(407) 297-7887
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/23/2020
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