Look up the most recent NPI and PECOS records

The Center For Life Enhancement Llc

Chiropractor

Chiropractic Providers

7851 Hickory Flat Hwy Ste 204, Woodstock, GA 30188-2352

PECOS Enrollment

Based on the most recent information from CMS, provider The Center For Life Enhancement Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1306559992
Provider Type
Organization
Full Name
The Center For Life Enhancement Llc

Subpart
No
Enumeration Date
12/29/2022
Last Updated
12/30/2022

Contact Information

Practice Location

7851 Hickory Flat Hwy Ste 204, Woodstock, GA 30188-2352

(201) 588-3840

Unlisted Fax

Mailing Location

7851 Hickory Flat Hwy Ste 204, Woodstock, GA 30188-2352

(201) 588-3840

Unlisted Fax

Authorized Official

D'Ambrosio, John (Owner)

(201) 588-3840

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License Unlisted Issuer

The Center For Life Enhancement Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Strobl, Garrett Keith

Mccormick, Kelly A

Starting Block Sports Medicine & Rehabilitation

Alexander, Donna

Obrien, Christopher

Jones, Timothy Demetrius

Surma, Darren Michael

Abouhaif, Khaled M

Brewer, Caleb Ryan

Smith, Clark Jeffery