Lifespan Health Service INC

NPI #1740500685 in West Lafayette, Indiana

Provider Information

NPI Number
1740500685
Entity Type
Organization
Organization Name
Lifespan Health Service INC
Primary Specialty
Home Health
Enumeration Date
Jun 2, 2010
Last Updated
Jun 2, 2010

Practice Location

Address
2111 KLONDIKE RD
State
Indiana
ZIP Code
47906-5124
Phone
(765) 274-2168

Authorized Official

Name
MR. KENNETH REBEL NOBLE, R.N., B.S.N., D.T.S.
Title
CEO
Phone
(765) 426-1425

Specialties & Taxonomy Codes

Specialty
Home Health

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