| Organization Name: | NEW LIFE HEALTH AND MEDICAL |
| NPI Number: | 1982023115 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLTON BOYD (CEO) |
| Mailing Address: | 701 Main St. Suite 150 Columbia |
| State: | SC US |
| Postal Code: | 29201 |
| Phone Number: | 8035469553 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2014 |
| NPI Last Update Date: | 04/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |