Organization
RESTORED LIFE HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHRISTENSON (EXECUTIVE DIRECTOR)
(765) 780-7689
Entity
Organization
Contact information
Practice address
302 S REED RD, KOKOMO, IN 46901-4900
(765) 780-7689
Mailing address
302 S REED RD, KOKOMO, IN 46901-4900
(765) 780-7689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D2330360
CMS
CA
Enumeration date
09/01/2023
Last updated
12/02/2025
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