Living Well 4 Life

LBN: Living Well 4 Life
Living Well 4 Life is an health care organization with primary practice located at 405 Daffodil Dr , Jackson NJ 08527-4125. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Living Well 4 Life can be contacted via phone (732) 966-5809, or through Mcmillan, Rekishia L via phone (732) 966-5809.

Contact Information

Primary practice address
405 Daffodil Dr Jackson NJ 08527-4125
Phone: (732) 966-5809
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcmillan, Rekishia L MSW
Phone: (732) 966-5809

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1174140271
LBN Legal business name Living Well 4 Life
DBA Doing business as
Authorized official Mcmillan, Rekishia L MSW
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2020
Last updated Jul 6th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174140271 NPPES
New Jersey Other 14356384 CAQH

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