| Lifeback LLC | |
|
4 Princess Rd Bldg 200 / Suite 206 Lawrenceville NJ 08648-2322 | |
| (609) 482-3701 | |
| (215) 975-7300 |
| Full Name | Lifeback LLC |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4 Princess Rd, Lawrenceville, New Jersey |
| Authorized Official Name and Position | Marinetta Serotte (ADMINSTRATOR/OWNER) |
| Authorized Official Contact | 6098728021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeback LLC 3366 Durham Rd Doylestown PA 18902-1817 | Lifeback LLC 4 Princess Rd Bldg 200 / Suite 206 Lawrenceville NJ 08648-2322 Ph: (609) 482-3701 |
| NPI Number | 1780015412 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780015412 | NPI | - | NPPES |
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