Lifequest Support Services LLC

NPI #1083161202 in Branson, Missouri

Provider Information

NPI Number: 1083161202
Entity Type: Organization
Organization Name: Lifequest Support Services LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 6, 2016
Last Updated: Sep 6, 2016

Practice Location

Address: 99 ROYAL VISTA DR UNIT 408
City: Branson
State: Missouri
ZIP Code: 65616-6237
Phone: (417) 274-9471

Authorized Official

Name: JEFFREY SMITH
Title: CO-OWNER
Phone: (417) 274-9471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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