Organization
MYLYFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORONA ROBINSON (TREASURER)
(617) 943-9384
Entity
Organization
Contact information
Practice address
56 CHERRY ST, BROCKTON, MA 02301-2608
(617) 943-9384
Mailing address
56 CHERRY ST, BROCKTON, MA 02301-2608
(617) 943-9384
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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