Provider Demographics
NPI:1124992466
Name:ENRICHMENT OF LIFE LLC
Entity type:Organization
Organization Name:ENRICHMENT OF LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STILL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:945-400-3838
Mailing Address - Street 1:9415 PANTHER CREEK PKWY APT 1225
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1121
Mailing Address - Country:US
Mailing Address - Phone:945-400-3838
Mailing Address - Fax:
Practice Address - Street 1:9415 PANTHER CREEK PKWY APT 1225
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-1121
Practice Address - Country:US
Practice Address - Phone:945-400-3838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health