Organization
LIFESTAGES - SAMARITAN CENTERS FOR WOMEN LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY GUERRANT (EXECUTIVE ASSISTANCE)
(937) 277-8988
Entity
Organization
Contact information
Practice address
9000 N MAIN ST, SUITE 232, DAYTON, OH 45415-1180
(937) 277-8988
(937) 832-2421
Mailing address
9000 N MAIN ST, SUITE 232, DAYTON, OH 45415-1180
(937) 277-8988
(937) 832-2421
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077523
—
OH
Enumeration date
05/26/2006
Last updated
06/12/2013
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