# LIFESTYLE SUPPORT SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1821110669
- **Authorized official:** MRS. KATIE A DELOZIER (FINANCE IT MANAGER)
- **Authorized official phone:** (814) 948-6708

## Contact information

- **Practice address:** 1109 DEVEAUX STREET, ELMORA, PA 15714-0303
- **Practice address phone:** (814) 948-6708
- **Practice address fax:** (814) 948-6718
- **Mailing address:** 1109 DEVEAUX STREET, PO BOX 303, ELMORA, PA 15714-0303
- **Mailing address phone:** (814) 948-6708
- **Mailing address fax:** (814) 948-6718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | PA | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020