OrganizationActive
Life Enhancement Services, Inc.
NPI 1568618700 · Rehabilitation Clinic/Center · Tuskegee, AL
Provider details
- NPI number
- 1568618700
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Demetrius Crayton, Executive Director(334) 727-1122
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
108 Eastside St.
103
Tuskegee, AL 36083-1701
Phone: (334) 727-1122
Fax: (334) 727-7277
Approximate (ZIP-level) locationGet directions
Mailing address
108 Eastside St.
Tuskegee, AL 36083-1701
Registry dates
- Enumerated
- 2008-08-07
- Last updated
- 2008-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.