Organization
RE-ENLIST TO LIFE
Active
Organization
RE-ENLIST TO LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EMBRY (FOUNDER)
(442) 822-9231
Entity
Organization
Contact information
Practice address
56711 TWENTYNINE PALMS HIGHWAY, YUCCA VALLEY, CA 92248
(442) 822-9231
Mailing address
56711 TWENTYNINE PALMS HIGHWAY, YUCCA VALLEY, CA 92284
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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