NPI 1013347046

D-Life Fitness, LLC

Organisation Health Maintenance Organization Columbia, MO

Practice location

Address: 711 Vandiver Dr STE J&k, Columbia, MO 65202-1593
Phone: (573) 289-7334

Authorised official

Name: Shamar Elaine Rich-Hall
Title: Registered Agent / Bookkeeper
Phone: (754) 214-1177

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1013347046
Entity type: Organization
NPI issued: 12 Nov 2013
Record last updated: 12 Nov 2013

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.