Organization
LIFESTREAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE MELLO (PRESIDENT & CEO)
(508) 993-1991
Entity
Organization
Contact information
Practice address
13 WELBY RD, NEW BEDFORD, MA 02745-1132
(508) 998-1116
Mailing address
PO BOX 50487, NEW BEDFORD, MA 02745-0017
(508) 993-1991
(508) 985-9073
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312588
—
MA
Enumeration date
04/24/2007
Last updated
02/20/2026
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