Organization
LIFESKILLS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DAN BEAVERS (CEO)
(270) 901-5000
Entity
Organization
Contact information
Practice address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
800004
KY
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700121730
—
KY
Enumeration date
06/21/2010
Last updated
07/20/2021
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