FUNCTIONAL LIFE CONSULTING LLC NPI 1598131393

NPI Information

NPI: 1598131393
Provider Name: FUNCTIONAL LIFE CONSULTING, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
3302 WEST LAKE WOODS
APARTMENT #126
ERIE, PA
ZIP 16507
Phone: (847) 644-1280
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FUNCTIONAL LIFE CONSULTING, LLC is a rehabilitation clinic center in Erie, PA. FUNCTIONAL LIFE CONSULTING, LLC NPI is 1598131393. The provider is registered as an organization entity type.

The provider's business location address is:

3302 WEST LAKE WOODS
APARTMENT #126
ERIE, PA
ZIP 16507-677
Phone: (847) 644-1280
Fax: (847) 440-9000

The provider's authorized official is Mark Howard Cable .
The authorized official title is Owner and has the following contact phone number (847) 644-1280.

The enumeration date for this NPI number is 8/15/2015 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2000X	Clinic/Center	Physical Therapy			No
2	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			No
3	261QX0100X	Clinic/Center	Occupational Medicine	056010180	ILLINOIS	No
4	310400000X	Assisted Living Facility				No
5	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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