| Living Fully, Llc | |
|
1771 Wilderness Rd Lancaster PA 17603-9324 | |
| (717) 862-8812 | |
| Not Available |
| Full Name | Living Fully, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1771 Wilderness Rd, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Miguelina Dalton (OWNER) |
| Authorized Official Contact | 8453045189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Fully, Llc 1771 Wilderness Rd Lancaster PA 17603-9324 Ph: (845) 304-5189 | Living Fully, Llc 1771 Wilderness Rd Lancaster PA 17603-9324 Ph: (717) 862-8812 |
| NPI Number | 1033986575 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033986575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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