Organization
MY LIFE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE ELIZABETH SLUZALIS (CEO)
(570) 419-4136
Entity
Organization
Contact information
Practice address
197 WILLOW TRACE RD, WILLIAMSPORT, PA 17701-9264
(570) 419-4136
Mailing address
197 WILLOW TRACE RD, WILLIAMSPORT, PA 17701-9264
(570) 419-4136
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660113650
MCI
PA
Enumeration date
05/05/2011
Last updated
08/05/2013
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