LYFE INTERVENTION SERVICES
Agencies at Putman St, Fountain Inn, SC

License number
South Carolina 251S00000X
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. DARIUS DURAND LAGROON BS
Title: CEO
Phone: (864) 862-6912
Address
Address
401 Putman St, Fountain Inn, SC 29644
National Provider ID: 1164791778
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LYFE INTERVENTION SERVICES at bizstanding.com

LYFE INTERVENTION SERVICES LTD. CO

401 Putman St, Fountain Inn, SC 29644

Industry:
Business Services at Non-Commercial Site, Nonclassifiable Establishments
Doing business as:
Lyfe Intervention Services
Registration:
Jan 6, 2012
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Management:
Darius D. Lagroon (Management)

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