Provider Demographics
NPI:1164203170
Name:LIFE BUILDERS, LLC.
Entity Type:Organization
Organization Name:LIFE BUILDERS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEEDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-330-5235
Mailing Address - Street 1:7413 MAXTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9040
Mailing Address - Country:US
Mailing Address - Phone:614-305-5156
Mailing Address - Fax:
Practice Address - Street 1:7413 MAXTOWN RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9040
Practice Address - Country:US
Practice Address - Phone:614-305-5156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care