Provider Demographics
NPI:1710661459
Name:LIFE WORTH LIVING
Entity Type:Organization
Organization Name:LIFE WORTH LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAKEYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:443-604-0609
Mailing Address - Street 1:2300 GARRISON BLVD STE 280
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-2378
Mailing Address - Country:US
Mailing Address - Phone:443-604-0609
Mailing Address - Fax:
Practice Address - Street 1:3956 DOLFIELD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5600
Practice Address - Country:US
Practice Address - Phone:443-604-0609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities