Organization
LIFE IMPACT LLC
Active
Organization
LIFE IMPACT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE SMITH (EXCUTIVE OFFICER)
(804) 325-7479
Entity
Organization
Contact information
Practice address
8325 FINWORTH LN, NORTH CHESTERFIELD, VA 23237-3872
(804) 549-1585
(804) 562-3736
Mailing address
8325 FINWORTH LN, NORTH CHESTERFIELD, VA 23237-3872
(804) 549-1585
(804) 562-3736
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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