Organization
LIFES ENERGY WELLNESS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MARIA KELLEY-FREEMAN (CEO)
(800) 867-2395
Entity
Organization
Contact information
Practice address
8737 BROOKS DR, EASTON, MD 21601-7474
(800) 867-2395
Mailing address
PO BOX 123, EASTON, MD 21601-8901
(800) 867-2395
(410) 443-0842
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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