Life Span Home, INC
NPI #1942698790 in Fair Oaks, California
Provider Information
- NPI Number
- 1942698790
- Entity Type
- Organization
- Organization Name
- Life Span Home, INC
- Primary Specialty
- Home Health
- Enumeration Date
- Jan 2, 2015
- Last Updated
- Jan 2, 2015
Practice Location
- Address
- 4041 BRIDGE STREET
- City
- Fair Oaks
- State
- California
- ZIP Code
- 95628
- Phone
- (916) 965-0110
Authorized Official
- Name
- ELIZABETH SOUTHORN, MACP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (916) 965-0110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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