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Organization
LIFE STYLES INC.
Active
Organization
LIFE STYLES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY L ANDERSON (FINANCE DIRECTOR)
(479) 521-3581
Entity
Organization
Contact information
Practice address
2471 W SYCAMORE ST, FAYETTEVILLE, AR 72703-1140
(479) 521-3581
(479) 695-1778
Mailing address
2471 W SYCAMORE ST, FAYETTEVILLE, AR 72703-1140
(479) 521-3581
(479) 695-1778
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118466715
—
AR
05
—
121248732
—
AR
05
—
125864767
—
AR
05
—
126145775
—
AR
05
—
129639774
—
AR
05
—
133281724
—
AR
05
—
160536771
—
AR
Enumeration date
03/15/2006
Last updated
12/17/2020
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