Lifestyle Support Services INC
NPI #1821110669 in Elmora, Pennsylvania
Provider Information
- NPI Number
- 1821110669
- Entity Type
- Organization
- Organization Name
- Lifestyle Support Services INC
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1109 DEVEAUX STREET
- City
- Elmora
- State
- Pennsylvania
- ZIP Code
- 15714-0303
- Phone
- (814) 948-6708
Authorized Official
- Name
- MRS. KATIE A DELOZIER
- Title
- FINANCE IT MANAGER
- Phone
- (814) 948-6708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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