Organization
LIFEWAYS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA WILKINSON SMITH CCDCIII (EXECITIVE DIRECTOR)
(605) 716-6555
Entity
Organization
Contact information
Practice address
1010 9TH ST, SUITE 2, RAPID CITY, SD 57701-3782
(605) 716-6555
Mailing address
1010 9TH ST, SUITE 2, RAPID CITY, SD 57701-3782
(605) 716-6555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5006070
—
SD
Enumeration date
03/09/2007
Last updated
08/22/2020
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