# LIFESTAGES PHYSICIAN SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VNA HOME HEALTH & HOSPICE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346772738
- **Legal business name:** VNA HOME HEALTH & HOSPICE
- **Authorized official:** COLLEEN F HILTON (CEO)
- **Authorized official phone:** (800) 757-3326

## Contact information

- **Practice address:** 50 FODEN RD, SOUTH PORTLAND, ME 04106-1718
- **Practice address phone:** (800) 757-3326
- **Practice address fax:** (207) 772-0698
- **Mailing address:** 50 FODEN RD, SOUTH PORTLAND, ME 04106-1718
- **Mailing address phone:** (800) 757-3326
- **Mailing address fax:** (207) 772-0698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2017
- **Last updated:** 04/03/2017