| Lifetime Health Services Llc | |
|
7509 Rebel Lndg Prince George VA 23875-2970 | |
| (804) 731-6145 | |
| Not Available |
| Full Name | Lifetime Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7509 Rebel Lndg, Prince George, Virginia |
| Authorized Official Name and Position | Derius Marquise Williams (OWNER) |
| Authorized Official Contact | 8047316145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Health Services Llc 7509 Rebel Lndg Prince George VA 23875-2970 Ph: (804) 731-6145 | Lifetime Health Services Llc 7509 Rebel Lndg Prince George VA 23875-2970 Ph: (804) 731-6145 |
| NPI Number | 1962389064 |
|---|---|
| Provider Enumeration Date | 08/19/2025 |
| Last Update Date | 08/27/2025 |
| Certification Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962389064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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