Organization
LIFESTYLE HOSPICE FOUNDATION, INC.
Active
Organization
LIFESTYLE HOSPICE FOUNDATION, INC.
Active
Other names
Lifestyle Home Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LELAND KENT FIFE M.S. (EXECUTIVE DIRECTOR)
(541) 216-6468
Entity
Organization
Contact information
Practice address
2390 SW 4TH AVE, ONTARIO, OR 97914-1852
(541) 216-6468
(541) 216-6469
Mailing address
2390 SW 4TH AVE, ONTARIO, OR 97914-1852
(541) 216-6468
(541) 216-6469
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NPC-0003805
OR
332BX2000X
Oxygen Equipment & Supplies (DME)
NPC-0003805
OR
Other
Enumeration date
05/02/2012
Last updated
08/10/2015
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