Organization
NEW LIFE WELLNESS COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULAIKA LUGO (OWNER)
(786) 239-4074
Entity
Organization
Contact information
Practice address
6295 LAKE WORTH RD # 28-29, GREENACRES, FL 33463-2909
(786) 351-2230
Mailing address
6295 LAKE WORTH RD STE 19, GREENACRES, FL 33463-3033
(786) 930-0548
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104190700
—
FL
05
—
108821800
—
FL
Enumeration date
08/31/2019
Last updated
09/29/2023
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