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NPI Code Detail

MEDICARE: A NEW LIFE WELLNESS CENTER, INC

MEDICARE: A NEW LIFE WELLNESS CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4601CO

General Provider Information

NPI Number : 1659668960
Entity Type Code : Organization
Provider Name (Legal Business Name) : A NEW LIFE WELLNESS CENTER, INC
Provider Business Mailing Address
First Line : 16831 E ILIFF AVE
Second Line : SUITE B
City : AURORA
State : CO
Zip : 80013-1579
Country : US
Telephone Number : 303-751-8200
Fax Number : 303-751-7777
Provider Business Practice Location Address
First Line : 16831 E ILIFF AVE
Second Line : SUITE B
City : AURORA
State : CO
Zip : 80013-1579
Country : US
Telephone Number : 303-751-8200
Fax Number : 303-751-7777
Authorized Official
Title or Position : CHIROPRACTOR
Name : HEATHER POTTER
Credential : DC
Telephone Number : 303-751-8200
Provider Enumeration Date : 07/07/2011
Last Update Date : 07/07/2011

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Directions to “A NEW LIFE WELLNESS CENTER, INC ” Practice Location

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