Healthcare Provider Details

I. General information

NPI: 1689585739
Provider Name (Legal Business Name): NEW LIFE HEALTH SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3204 WANSTEAD PARK DR APT 802
SUWANEE GA
30024-0050
US

IV. Provider business mailing address

3204 WANSTEAD PARK DR APT 802
SUWANEE GA
30024-0050
US

V. Phone/Fax

Practice location:
  • Phone: 1
  • Fax:
Mailing address:
  • Phone: 1
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: JOHN COLE
Title or Position: PRESIDENT & CEO
Credential:
Phone: 1