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Organization
LIFESTREAM SERVICES, INC
Active
Organization
LIFESTREAM SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAMILTON (PRESIDENT/CEO)
(765) 759-1121
Entity
Organization
Contact information
Practice address
1701 S PILGRIM BLVD, YORKTOWN, IN 47396-9280
(765) 759-1121
(765) 759-0060
Mailing address
1701 S PILGRIM BLVD, YORKTOWN, IN 47396-9801
(765) 759-1211
(765) 759-0060
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107940A
—
IN
Enumeration date
04/18/2007
Last updated
08/13/2024
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