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Organization

LIFESTYLE FOR INDEPENDENCE LLC

Active
Other names
Lifestyly for independence, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STACIEANN JONES (EXECUTIVE DIRECTOR)
(267) 475-4090
Entity
Organization

Contact information

Practice address
16 SOUTH AVENUE WEST #313, CRANFORD, NJ 07016
(267) 475-4090
Mailing address
16 SOUTH AVENUE WEST #313, CRANFORD, NJ 07016
(267) 475-4090

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
04/20/2017
Last updated
08/12/2024
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