Organization
OPTIMAL ROYAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN LEWIS IV LAC (OWNER)
(813) 310-3569
Entity
Organization
Contact information
Practice address
2121 S MILL AVE STE 223, TEMPE, AZ 85282-2138
(813) 310-3569
Mailing address
2220 W DORA ST APT 203, MESA, AZ 85201-6045
(813) 310-3569
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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