Lifeskills

NPI 1063601425 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1063601425
Enumeration Date 10/22/2007
Last Updated 11/25/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOE DAN JOE DAN
Position CEO
Phone (270) 901-5000
Fax (270) 842-5268
Practice Location
380 SUWANNEE TRAIL ST
BOWLING GREEN KY, 42103-7956, US
Phone (270) 901-5000
Fax (270) 842-5268
Business Location
380 SUWANNEE TRAIL ST
BOWLING GREEN KY, 42103-7956, US
Phone (270) 901-5000
Fax (270) 842-5268
Toxanomy
Taxonomy Code 251S00000X
License State Kentucky
License Number 800004
Remove 1063601425 NPI Number
 

According to our database, Lifeskills NPI is 1063601425, taxonomy code is 251S00000X and license number is 800004, license state is located at Kentucky. Lifeskills physically located at 380 Suwannee Trail St, Bowling Green KY, 42103-7956. NPI Number 1033115704 has the healthcare provider type.

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1063601425 NPI number is provided on an as is basis without warranty of any kind. 1063601425 is maintained by the National Plan & Provider Enumeration System. The contents of Lifeskills are for informational purposes only.