Provider Demographics
NPI:1922887272
Name:GET YOUR LIFE BACKS INC
Entity Type:Organization
Organization Name:GET YOUR LIFE BACKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASACA
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROADWY
Authorized Official - Suffix:
Authorized Official - Credentials:CASACA
Authorized Official - Phone:914-471-1055
Mailing Address - Street 1:271 NORTH AVENUE, STE 801
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801
Mailing Address - Country:US
Mailing Address - Phone:914-471-1055
Mailing Address - Fax:914-633-1265
Practice Address - Street 1:271 NORTH AVENUE, STE 801
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801
Practice Address - Country:US
Practice Address - Phone:914-471-1055
Practice Address - Fax:914-633-1265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care