Organization
LIFECONNECT
Active
Other names
LifeCONNECT Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY BERNHARD M.ED., CRC, CESP (OWNER/CEO)
(330) 883-4626
Entity
Organization
Contact information
Practice address
153 DIAMOND WAY, CORTLAND, OH 44410-1906
(330) 883-4626
Mailing address
153 DIAMOND WAY, CORTLAND, OH 44410-1906
(330) 883-4626
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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