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Organization

ELIZABETH'S NEW LIFE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANN T MOELL M.D. (MEDICAL DIRECTOR)
(937) 226-7414
Entity
Organization

Contact information

Practice address
359 FOREST AVE, SUITE 203, DAYTON, OH 45405-4563
(937) 226-7414
Mailing address
359 FOREST AVE, SUITE 203, DAYTON, OH 45405-4563
(937) 226-7414

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
OH

Other

Enumeration date
05/15/2007
Last updated
08/22/2020
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