Organization
LIFE CONTINUES LLC
Active
Organization
LIFE CONTINUES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MILLER (PROVIDER)
(203) 828-8931
Entity
Organization
Contact information
Practice address
412 W 5TH ST, PORTAGEVILLE, MO 63873-1108
(323) 854-8587
Mailing address
412 W 5TH ST, PORTAGEVILLE, MO 63873-1108
(323) 854-8587
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063954014
PARTNER NPI
MO
Enumeration date
06/09/2020
Last updated
06/09/2020
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