MY LIFE ALIVE LLC
Agencies at State St, Salem, OR

License number
Oregon C4060
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: CARMEN HEIDECKE
Title: COUNSELOR
Phone: (503) 807-3444
Address
Address
388 State St SUITE 705, Salem, OR 97301
National Provider ID: 1699129445
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MY LIFE ALIVE LLC at bizstanding.com

MY LIFE ALIVE LLC

Salem, OR

Registration:
Oct 3, 2012
Addresses:
388 State St #705, Salem, OR 97301 (Physical)
PO Box 4461, Salem, OR 97301 (Mailing)
State ID:
88613592
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Carmen Heidecke,215 Miller St S, Salem, OR 97302 (Physical)

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