Provider Demographics
NPI:1184975542
Name:STRENGTH IN LIFE
Entity type:Organization
Organization Name:STRENGTH IN LIFE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:LE'ANN
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:702-808-9521
Mailing Address - Street 1:3620 N. RANCHO #113
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130
Mailing Address - Country:US
Mailing Address - Phone:702-949-7512
Mailing Address - Fax:702-943-0233
Practice Address - Street 1:3620 N. RANCHO #113
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130
Practice Address - Country:US
Practice Address - Phone:702-949-7512
Practice Address - Fax:702-943-0233
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STRENGTH IN LIFE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health