Provider Demographics
NPI:1427419175
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:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAELENE
Authorized Official - Middle Name:ROGERS
Authorized Official - Last Name:DOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-439-4480
Mailing Address - Street 1:105 NORTHWOOD DR
Mailing Address - Street 2:APT 1A
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-2478
Mailing Address - Country:US
Mailing Address - Phone:843-439-4480
Mailing Address - Fax:
Practice Address - Street 1:319 CHESTERFILED HWY #9
Practice Address - Street 2:
Practice Address - City:CHERAW
Practice Address - State:SC
Practice Address - Zip Code:29520
Practice Address - Country:US
Practice Address - Phone:843-439-4480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management