OrganizationActive
Lifetime Healthchoice LLC
NPI 1073009338 · Developmental Disabilities Clinic/Center · East Orange, NJ
Provider details
- NPI number
- 1073009338
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Dennis Kordie, Owner/Nurse Practitioner
Practice location
134 Evergreen Pl Ste 705
East Orange, NJ 07018-2012
Phone: (973) 641-8836
Fax: (973) 695-3795
Mailing address
36 Hawthorne Pl Apt 4m
Montclair, NJ 07042-3277
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.