Organization
LIFE ESSENTIALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE B DIERKER (EXECUTIVE DIRECTOR)
(937) 586-0545
Entity
Organization
Contact information
Practice address
123 RIVERSIDE DR, SUITE 100, DAYTON, OH 45405-4977
(937) 586-0545
(937) 586-0565
Mailing address
123 RIVERSIDE DR, SUITE 100, DAYTON, OH 45405-4977
(937) 586-0545
(937) 586-0565
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
08/22/2020
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