Provider Demographics
NPI:1902917065
Name:HEALTHY LIFE AND TIMES
Entity Type:Organization
Organization Name:HEALTHY LIFE AND TIMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HARSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-255-1498
Mailing Address - Street 1:1009 S MAYS ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6781
Mailing Address - Country:US
Mailing Address - Phone:512-255-1498
Mailing Address - Fax:512-255-4190
Practice Address - Street 1:1009 S MAYS ST
Practice Address - Street 2:SUITE B
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6781
Practice Address - Country:US
Practice Address - Phone:512-255-1498
Practice Address - Fax:512-255-4190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies