| Livin' Life | |
|
1406 9th St Apt. 11 De Witt IA 52742-1272 | |
| (563) 212-3237 | |
| Not Available |
| Full Name | Livin' Life |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1406 9th St, De Witt, Iowa |
| Authorized Official Name and Position | Ashley Jo Spain (GENERAL PARTNER) |
| Authorized Official Contact | 5632123237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livin' Life 1406 9th St Apt. 11 De Witt IA 52742-1272 Ph: (563) 212-3237 | Livin' Life 1406 9th St Apt. 11 De Witt IA 52742-1272 Ph: (563) 212-3237 |
| NPI Number | 1861791212 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 03/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861791212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Community Care, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Industrial St, De Witt, IA 52742 Phone: 563-659-4100 Fax: 563-659-8448 | |
Community Care, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Industrial St, De Witt, IA 52742 Phone: 563-659-4100 Fax: 563-659-8448 | |
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Community Care, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Industrial St, De Witt, IA 52742 Phone: 563-659-4100 Fax: 563-659-8448 |