Healthcare Provider Details

I. General information

NPI: 1174197420
Provider Name (Legal Business Name): LIFE IN 3D HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 AUSTINS PKWY STE 3
FLINT MI
48507-1344
US

IV. Provider business mailing address

2425 AUSTINS PKWY STE 3
FLINT MI
48507-1344
US

V. Phone/Fax

Practice location:
  • Phone: 810-610-7175
  • Fax:
Mailing address:
  • Phone: 810-780-4189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DENIKA LEFLORA DALTON
Title or Position: OWNER/OPERATOR
Credential: NP
Phone: 810-780-4189