Organization
LIFESPACE COMMUNITIES INC
Active
Other names
OakTrace, Oak Trace
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM STEVEN NUTTY (COMPLIANCE, AUDIT & PRIVACY OFFICER)
(515) 309-7803
Entity
Organization
Contact information
Practice address
210 VILLAGE DR, DOWNERS GROVE, IL 60516
(630) 769-6000
(630) 769-6020
Mailing address
4201 CORPORATE DR, WEST DES MOINES, IA 50266-5906
(515) 288-5805
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
05/08/2020
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