Lifescape Community Services, Inc.

NPI #1871865394 in Rockford, Illinois

Provider Information

NPI Number
1871865394
Entity Type
Organization
Organization Name
Lifescape Community Services, Inc.
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Jan 30, 2012
Last Updated
Jan 30, 2012

Practice Location

Address
705 KILBURN AVE
ZIP Code
61101-6550
Phone
(815) 963-1609

Authorized Official

Name
MS. CAROL GREEN
Title
EXECUTIVE DIRECTOR
Phone
(815) 963-1609

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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