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Organization

LIFEFORCE HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOLLY MARIE LA GRANDER (CEO)
(602) 465-8467
Entity
Organization

Contact information

Practice address
4722 N 95TH DR, PHOENIX, AZ 85037-1037
(602) 465-8467
Mailing address
4722 N 95TH DR, PHOENIX, AZ 85037-1037
(602) 465-8467

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/06/2022
Last updated
01/06/2022
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