| New Life Alternatives Llc | |
|
31235 Harper Ave Ste 244 Saint Clair Shores MI 48082-1425 | |
| (313) 915-9138 | |
| Not Available |
| Full Name | New Life Alternatives Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 31235 Harper Ave Ste 244, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Severia Adolphus (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3139159138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Alternatives Llc 24340 Dante St Oak Park MI 48237-3610 Ph: (313) 915-9138 | New Life Alternatives Llc 31235 Harper Ave Ste 244 Saint Clair Shores MI 48082-1425 Ph: (313) 915-9138 |
| NPI Number | 1033759659 |
|---|---|
| Provider Enumeration Date | 01/11/2020 |
| Last Update Date | 10/19/2021 |
| Medicare PECOS PAC ID | 7810386976 |
|---|---|
| Medicare Enrollment ID | O20211110002126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033759659 | NPI | - | NPPES |
| Provider Name | Severia Adolphus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992939052 PECOS PAC ID: 3274801246 Enrollment ID: I20211110002074 |
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