Organization
LIVIN' LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY JO SPAIN MSM (GENERAL PARTNER)
(563) 212-3237
Entity
Organization
Contact information
Practice address
1406 9TH ST, APT. 11, DE WITT, IA 52742-1272
(563) 212-3237
Mailing address
1406 9TH ST, APT. 11, DE WITT, IA 52742-1272
(563) 212-3237
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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