Organization
LIFEWAY CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN M HAASTRUP DNP, APN (DIRECTOR OF OPERATIONS)
(567) 328-0011
Entity
Organization
Contact information
Practice address
662 PHILLIPS AVE, TOLEDO, OH 43612-1314
(567) 328-0011
Mailing address
4422 SHERI LN, TOLEDO, OH 43614-5635
(567) 328-0011
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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