Provider Demographics
NPI:1972756070
Name:NATURAL LIVING CENTERS L.L.C.
Entity Type:Organization
Organization Name:NATURAL LIVING CENTERS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MCHENRY
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:602-993-0131
Mailing Address - Street 1:3850 W GREENWAY RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-3731
Mailing Address - Country:US
Mailing Address - Phone:602-993-0131
Mailing Address - Fax:602-993-7335
Practice Address - Street 1:3850 W GREENWAY RD
Practice Address - Street 2:SUITE 180
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-3731
Practice Address - Country:US
Practice Address - Phone:602-993-0131
Practice Address - Fax:602-993-7335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty