Provider Demographics
NPI:1649730821
Name:ENHANCED LIVING INMAN
Entity type:Organization
Organization Name:ENHANCED LIVING INMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-848-0640
Mailing Address - Street 1:11068 ASHEVILLE HWY STE B17
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-5805
Mailing Address - Country:US
Mailing Address - Phone:864-473-1083
Mailing Address - Fax:
Practice Address - Street 1:11068 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349-5805
Practice Address - Country:US
Practice Address - Phone:864-473-1083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ENHANCED LIVING CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-22
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty