Organization
HEALTHY YOU LIFESTYLE CENTER
Active
Parent organization
HEALTHY YOU LIFESTYLE CENTER
Other names
Healthy You Lifestyle Center, Healthy You Lifestyle Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHY YOU LIFESTYLE CENTER
Authorized official
RAJITHA BOMMAKANTI RN (PRESIDENT)
(919) 656-1029
Entity
Organization
Contact information
Practice address
13225 CARIS CT, ALPHARETTA, GA 30009-3249
(919) 656-1029
Mailing address
13225 CARIS CT, ALPHARETTA, GA 30009-3249
(919) 656-1029
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
11/22/2018
Last updated
11/22/2018
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