Organization
LIFELONG HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA ELIZABETH ESTES (CLINIC MANAGER)
(870) 895-5433
Entity
Organization
Contact information
Practice address
642 N MAIN ST, SALEM, AR 72576-0220
(870) 895-5433
(870) 895-5430
Mailing address
PO BOX 220, SALEM, AR 72576-0220
(870) 895-5433
(870) 895-5430
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155977002
—
AR
Enumeration date
03/14/2006
Last updated
12/07/2007
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