Organization · Type 2 NPI

Diet of A Lifetime, LLC

Clinic/Center · Pine Bluff, AR

NPI number 1811553555 Active

Practice location

123 S Pine St
Pine Bluff, AR 71601-4222

Call (870) 540-9114 Map

Mailing address

420 Sandy Bayou Ln
Pine Bluff, AR 71603-6555

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1811553555

Diet of A Lifetime, LLC's National Provider Identifier is 1811553555, issued on May 17, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Pine Bluff, AR. The record was last updated on May 17, 2019.