Provider Demographics
NPI:1275991598
Name:TOGETHER LIFE MANAGEMENT SERVICES, LLC.
Entity Type:Organization
Organization Name:TOGETHER LIFE MANAGEMENT SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:M. LAND
Authorized Official - Middle Name:
Authorized Official - Last Name:EUGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-227-1907
Mailing Address - Street 1:6151 MIRAMAR PKWY
Mailing Address - Street 2:SUITE # 122
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3970
Mailing Address - Country:US
Mailing Address - Phone:754-227-1907
Mailing Address - Fax:754-400-8713
Practice Address - Street 1:6151 MIRAMAR PKWY
Practice Address - Street 2:SUITE # 122
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3970
Practice Address - Country:US
Practice Address - Phone:754-227-1907
Practice Address - Fax:754-400-8713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management