Organization
THE CELESTIAL LIFE LLC
Active
Organization
THE CELESTIAL LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA THEUS RD (OWNER)
(203) 680-0583
Entity
Organization
Contact information
Practice address
272 SUNWOOD DR, SHELTON, CT 06484-3885
(203) 680-0583
Mailing address
272 SUNWOOD DR, SHELTON, CT 06484-3885
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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