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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