Provider Demographics
NPI:1245749118
Name:NEW PERSPECTIVE LIFE CENTER, LLC
Entity Type:Organization
Organization Name:NEW PERSPECTIVE LIFE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-336-9101
Mailing Address - Street 1:PO BOX 1633
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-1633
Mailing Address - Country:US
Mailing Address - Phone:843-439-4480
Mailing Address - Fax:
Practice Address - Street 1:105 NORTHWOOD DR APT 1A
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-2479
Practice Address - Country:US
Practice Address - Phone:843-439-4480
Practice Address - Fax:843-439-4480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-23
Last Update Date:2017-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management