Organization
LIFEWAYS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY A CORDENIZ (CEO)
(541) 889-9167
Entity
Organization
Contact information
Practice address
290 WILLAMETTE ST, UMATILLA, OR 97882-6601
(541) 889-9167
(541) 889-7873
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
(541) 889-9167
(541) 889-7873
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517921
—
OR
Enumeration date
06/10/2009
Last updated
12/10/2015
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