Organization
HEALTH & FITNESS FOR LIFE, LLC
Active
Other names
Lifestyle Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW A DEHAVEN D.C. (CHIROPRACTOR)
(269) 463-4100
Entity
Organization
Contact information
Practice address
7652 RED ARROW HWY, WATERVLIET, MI 49098-9396
(269) 463-4100
Mailing address
PO BOX 245, WATERVLIET, MI 49098-0245
(269) 463-4100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007097
—
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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