NPI 1003272519
Ultimate Lifestyle Transformation, LLC
Practice location
- Address
- 600 Heritage Drive., Jupiter, FL 33458
- Phone
- (561) 727-9488
- Fax
- (561) 658-2435
- Mailing address
- 309 Eagletone Estates Drive., Palm Beach Gardens, FL 33418
Authorised official
- Name
- Glenn Sands
- Title
- Owner
- Phone
- (561) 727-9488
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Substance Use Disorder Rehabilitation Clinic/Center
Registry record
- NPI
- 1003272519
- Entity type
- Organization
- NPI issued
- 13 Jan 2016
- Record last updated
- 10 Jan 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.