Organization
A HEALTHY LIFE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE L ANDERSON III (CHIEF EXECUTIVE OFFICER)
(725) 237-2769
Entity
Organization
Contact information
Practice address
1045 YUCCA AVE, LAS VEGAS, NV 89104-1541
(725) 237-2769
(702) 548-0716
Mailing address
PO BOX 33443, LAS VEGAS, NV 89133-3443
(725) 237-2769
(702) 548-0716
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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