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Organization
LIFETIME RESOURCES, INC.
Active
Organization
LIFETIME RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY BECKLEY (EXECUTIVE DIRECTOR)
(812) 432-6202
Entity
Organization
Contact information
Practice address
13091 BENEDICT DR, DILLSBORO, IN 47018-8480
(812) 432-6202
Mailing address
13091 BENEDICT DR, DILLSBORO, IN 47018-8480
(812) 432-6202
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101800A
—
IN
05
—
100265190A
—
IN
05
—
100324410A
—
IN
05
—
200187910A
—
IN
05
—
200187920A
—
IN
05
—
200224930A
—
IN
05
—
200345140A
—
IN
05
—
200381370A
—
IN
05
—
200835640A
—
IN
05
—
200858720A
—
IN
05
—
200878110A
—
IN
05
—
200878120A
—
IN
05
—
200881090A
—
IN
Enumeration date
04/04/2007
Last updated
02/26/2008
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