Organization
LIFE DEVELOPMENT & HEALTH SERVICES CORPORATION
Active
Parent organization
LIFE DEVELOPMENT & HEALTH SERVICES CORPORATION
Other names
Atlanta - Buckhead
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE DEVELOPMENT & HEALTH SERVICES CORPORATION
Authorized official
AUSTIN GEORGE BENAMON (CEO)
(866) 806-5347
Entity
Organization
Contact information
Practice address
3355 LENOX RD NE STE 750, ATLANTA, GA 30326-1353
(866) 806-5347
(216) 710-6801
Mailing address
12848 QUEENSBURY LN STE 208, HOUSTON, TX 77024-4163
(866) 806-5347
(216) 710-6801
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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