Organization
LYFE ENRICHING PROFESSIONAL SERVICES, LLC
Active
Other names
LYFE Enriching Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA L BEADENKOPF (OWNER)
(443) 500-1954
Entity
Organization
Contact information
Practice address
32 GORSUCH RD, LUTHERVILLE TIMONIUM, MD 21093-4215
(443) 500-1954
Mailing address
32 GORSUCH RD, LUTHERVILLE TIMONIUM, MD 21093-4215
(443) 500-1954
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADCP178528
IN HOME CARE SERVICES
MD
Enumeration date
09/07/2022
Last updated
09/07/2022
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