# LIFEKEEPERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467295782
- **Authorized official:** THOMAS AUGUSTINE (PRESIDENT AND CEO)
- **Authorized official phone:** (608) 697-5987

## Contact information

- **Practice address:** N6706 OLD RIVER RD, PORTAGE, WI 53901-9522
- **Practice address phone:** (608) 742-2788
- **Mailing address:** 515 WASHINGTON ST STE A, PORTAGE, WI 53901-2442
- **Mailing address phone:** (608) 745-9004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/14/2024
- **Last updated:** 06/14/2024
