Organization
LIFE UNITED, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN RIKER (MANAGING MEMBER)
(407) 796-1232
Entity
Organization
Contact information
Practice address
101 TIMBERLACHEN CIR, SUITE 201, LAKE MARY, FL 32746-6124
(407) 796-1232
Mailing address
576 SILVERGATE LOOP, LAKE MARY, FL 32746-3742
(407) 796-1232
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
10/04/2016
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