Provider Demographics
NPI:1497949234
Name:EMBRACING LYFE
Entity Type:Organization
Organization Name:EMBRACING LYFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BENEFIT ELIGIBILITY SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-516-6703
Mailing Address - Street 1:4011 N BRANCH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3807
Mailing Address - Country:US
Mailing Address - Phone:813-237-5838
Mailing Address - Fax:813-234-2303
Practice Address - Street 1:4011 N BRANCH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3807
Practice Address - Country:US
Practice Address - Phone:813-237-5838
Practice Address - Fax:813-234-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management