Provider Demographics
NPI:1316591993
Name:NU-LIFE WELLNESS CENTER
Entity Type:Organization
Organization Name:NU-LIFE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS-BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-687-5163
Mailing Address - Street 1:PO BOX 987
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-0987
Mailing Address - Country:US
Mailing Address - Phone:360-687-5163
Mailing Address - Fax:360-687-5165
Practice Address - Street 1:14 NE GRACE AVE
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-8259
Practice Address - Country:US
Practice Address - Phone:360-687-5163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:19582755829
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty