Lifekeepers, Inc.

NPI #1467295782 in Portage, Wisconsin

Provider Information

NPI Number: 1467295782
Entity Type: Organization
Organization Name: Lifekeepers, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 14, 2024
Last Updated: Jun 14, 2024

Practice Location

Address: N6706 OLD RIVER RD
City: Portage
State: Wisconsin
ZIP Code: 53901-9522
Phone: (608) 742-2788

Authorized Official

Name: THOMAS AUGUSTINE
Title: PRESIDENT AND CEO
Phone: (608) 697-5987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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