Organization
IT'S MY LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L GIBAT BS (CEO)
(484) 350-1029
Entity
Organization
Contact information
Practice address
5925 TILGHMAN ST STE 90, ALLENTOWN, PA 18104-9140
(484) 350-1029
Mailing address
5925 TILGHMAN ST, SUITE 90, ALLENTOWN, PA 18104-3063
(484) 350-1029
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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