Organization
LIFE PROVISIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA BELL-GASH (OWNER)
(704) 297-5202
Entity
Organization
Contact information
Practice address
3211 GARTSIDE AVE, WINDSOR MILL, MD 21244-2824
(704) 297-5202
Mailing address
3211 GARTSIDE AVE, WINDSOR MILL, MD 21244-2824
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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