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Organization
LIFE RAFT PSYCHIATRY LLC
Active
Organization
LIFE RAFT PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET SHAFFER (OWNER)
(814) 243-5365
Entity
Organization
Contact information
Practice address
311 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5512
(814) 243-5365
Mailing address
311 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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