Organization
LIFE WELLNESS CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C VALLEJO (PRESIDENT)
(786) 416-3463
Entity
Organization
Contact information
Practice address
10556 NW 26TH ST STE D102, DORAL, FL 33172-5943
(786) 416-3463
Mailing address
10556 NW 26TH ST STE D102, DORAL, FL 33172-5943
(786) 416-3463
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2020
Last updated
06/06/2020
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