Organization
LIFESTYLE COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMIL PEREZ CONCEPCION (OWNER/PRESIDENT)
(315) 802-9929
Entity
Organization
Contact information
Practice address
2460 SW 137TH AVE STE 251-252, MIAMI, FL 33175-8803
(315) 802-9929
Mailing address
2460 SW 137TH AVE STE 251-252, MIAMI, FL 33175-8803
(315) 802-9929
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
05/12/2021
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