Lifestream, INC
NPI #1154540771 in New Bedford, Massachusetts
Provider Information
- NPI Number
- 1154540771
- Entity Type
- Organization
- Organization Name
- Lifestream, INC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13 WELBY RD
- City
- New Bedford
- State
- Massachusetts
- ZIP Code
- 02745-1132
- Phone
- (508) 998-1116
Authorized Official
- Name
- JOHN A LATAWIEC
- Title
- PRESIDENT, CEO
- Phone
- (508) 993-1991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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