Organization
IMPACT LIFE, INC
Active
Organization
IMPACT LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICA PERSONTI (CEO)
(302) 465-0019
Entity
Organization
Contact information
Practice address
4973 BOYCE RD, SEAFORD, DE 19973-6637
(302) 000-0000
Mailing address
PO BOX 1269, HOCKESSIN, DE 19707-5269
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/04/2025
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