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Organization

L.I.F.E., INC.

Active
Other names
LIFE In Home
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY P AZINGER (EXECUTIVE DIRECTOR)
(573) 756-4314
Entity
Organization

Contact information

Practice address
725 E KARSCH BLVD, FARMINGTON, MO 63640-3006
(573) 756-4314
(573) 756-3507
Mailing address
PO BOX 967, FARMINGTON, MO 63640-0967
(573) 756-4314
(573) 756-3507

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/20/2017
Last updated
01/20/2017
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