Lifestyle Support Services Inc in Elmora - Licensed Practical Nurse
Lifestyle Support Services Inc - NPI 1821110669
Lifestyle Support Services Inc is a Licensed Practical Nurse in Elmora, Pennsylvania. Lifestyle Support Services Inc practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Lifestyle Support Services Inc is 1821110669. The last update date is 2020-08-22.
Lifestyle Support Services Inc's current location address is 1109 Deveaux Street, Elmora, Pennsylvania. You can contact this provider via phone number 8149486708 and fax number 8149486718. The mailing address for Lifestyle Support Services Inc is 1109 Deveaux Street, Elmora, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifestyle Support Services Inc |
|---|---|
| Address | 1109 Deveaux Street, Elmora, Pennsylvania |
| Phone Number | 8149486708 |
| Fax Number | 8149486718 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FINANCE IT |
|---|---|
| Authorized Official Name | Delozier A Katie |
| Telephone Number | 8149486708 |
NPI Number Detail
| NPI Number | 1821110669 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1109 Deveaux Street |
|---|---|
| City | Elmora |
| State | Pennsylvania (PA) |
| Post Code | 157140303 |
| Phone Number | 8149486708 |
| Fax Number | 8149486718 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the Lifestyle Support Services Inc's unique identification number?
The Lifestyle Support Services Inc has been assigned the NPI (National Provider Identifier) Number 1821110669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lifestyle Support Services Inc?
The Lifestyle Support Services Inc is situated at 1109 Deveaux Street, in the city of Elmora, state of PA, with the zip code 157140303.
What is Lifestyle Support Services Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lifestyle Support Services Inc is Licensed Practical Nurse, and the taxonomy code that classifies this field of practice is 164W00000X.
On what date did Lifestyle Support Services Inc receive its 1821110669 assignment from the Centers for Medicare & Medicaid Services?
The Lifestyle Support Services Inc was assigned its 1821110669 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lifestyle Support Services Inc most recently updated or revised?
The details related to Lifestyle Support Services Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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