# LIFE CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Adult Day Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144505488
- **Authorized official:** KRISTY A MOORMAN TRS/L (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (405) 377-0978

## Contact information

- **Practice address:** 411 W MATTHEWS AVE, STILLWATER, OK 74075-7517
- **Practice address phone:** (405) 377-0978
- **Practice address fax:** (405) 372-7726
- **Mailing address:** 411 W MATTHEWS AVE, STILLWATER, OK 74075-7517
- **Mailing address phone:** (405) 377-0978
- **Mailing address fax:** (405) 372-7726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0600X | Adult Day Care Clinic/Center | — | NULL | — |
| 385H00000X | Respite Care | DC6001-6001 | OK | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 08/31/2022
