| Life Continues Llc | |
|
412 W 5th St Portageville MO 63873-1108 | |
| (323) 854-8587 | |
| Not Available |
| Full Name | Life Continues Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 412 W 5th St, Portageville, Missouri |
| Authorized Official Name and Position | Robert Miller (PROVIDER) |
| Authorized Official Contact | 2038288931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Continues Llc 412 W 5th St Portageville MO 63873-1108 Ph: (323) 854-8587 | Life Continues Llc 412 W 5th St Portageville MO 63873-1108 Ph: (323) 854-8587 |
| NPI Number | 1689299372 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/09/2020 |
| Certification Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689299372 | NPI | - | NPPES |
| 1063954014 | Other | MO | PARTNER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |