Organization
LIFESHARE MIDWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA P. BOYNTON (MANAGER)
(603) 491-1762
Entity
Organization
Contact information
Practice address
155 DOW ST, SUITE 300, MANCHESTER, NH 03101-1299
(603) 625-8825
(603) 625-8875
Mailing address
155 DOW ST, SUITE 300, MANCHESTER, NH 03101-1299
(603) 625-8825
(603) 625-8875
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
201000005C
IL
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
04/03/2013
Last updated
08/17/2018
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