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Organization

ELITE LIFE SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA SMITH (PRINCIPAL OWNER)
(801) 491-8539
Entity
Organization

Contact information

Practice address
703 N. MAIN ST., SPRINGVILLE, UT 84663-1047
(801) 491-8539
(801) 491-8540
Mailing address
703 N. MAIN ST., SPRINGVILLE, UT 84663-1047
(801) 491-8539
(801) 491-8540

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
01/18/2008
Last updated
12/16/2008
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