NPI 1861791212
Livin' Life
Practice location
- Address
- 1406 9th St APT. 11, De Witt, IA 52742-1272
- Phone
- (563) 212-3237
Authorised official
- Name
- Ashley Jo Spain
- Title
- General Partner
- Phone
- (563) 212-3237
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1861791212
- Entity type
- Organization
- NPI issued
- 24 Mar 2011
- Record last updated
- 24 Mar 2011
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.