Provider Demographics
NPI:1609511625
Name:APONI LIFE RECOVERY LLC
Entity Type:Organization
Organization Name:APONI LIFE RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:KUY
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-779-6468
Mailing Address - Street 1:PO BOX 2941
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49003-2941
Mailing Address - Country:US
Mailing Address - Phone:269-220-4516
Mailing Address - Fax:
Practice Address - Street 1:132 CANDLEWYCK DR APT 418
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-5447
Practice Address - Country:US
Practice Address - Phone:269-779-6468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health