Healthcare Provider Details
I. General information
NPI: 1790691343
Provider Name (Legal Business Name): LIFE ADVOCATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
406 4TH ST NW APT 302
MANDAN ND
58554-2934
US
IV. Provider business mailing address
406 4TH ST NW APT 302
MANDAN ND
58554-2934
US
V. Phone/Fax
- Phone: 701-471-2403
- Fax:
- Phone: 701-471-2403
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATASHA
WHITNEY
REIGER
Title or Position: OWNER
Credential:
Phone: 701-471-2403