Organization
LIFT AIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE LEE STAUFFER (PRESIDENT)
(817) 835-0035
Entity
Organization
Contact information
Practice address
1500 WESTPARK WAY, EULESS, TX 76040-6736
(817) 835-0035
(817) 835-0096
Mailing address
1500 WESTPARK WAY, EULESS, TX 76040-6736
(817) 835-0035
(817) 835-0096
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
10/22/2013
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