Provider Demographics
NPI:1386788024
Name:PLANS FOR LIFE,LLC
Entity type:Organization
Organization Name:PLANS FOR LIFE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:BS SPECIAL EDUCATION
Authorized Official - Phone:828-687-9303
Mailing Address - Street 1:PO BOX 1767
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-1767
Mailing Address - Country:US
Mailing Address - Phone:828-687-9303
Mailing Address - Fax:828-687-9536
Practice Address - Street 1:119 TWIN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-9262
Practice Address - Country:US
Practice Address - Phone:828-687-9303
Practice Address - Fax:828-687-9536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC36266OtherLME PROVIDER NUMBER