Organization
LIFE SPRING CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC M BUJAMBI MA (CHIEF EXECUTIVE OFFICER)
(317) 993-7761
Entity
Organization
Contact information
Practice address
15567 OLD POND CIR, NOBLESVILLE, IN 46060-4944
(207) 482-9557
Mailing address
15567 OLD POND CIR, NOBLESVILLE, IN 46060-4944
(207) 482-9557
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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