Organization Name: | LIFE MAGNIFIED |
NPI Number: | 1003237058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALDINE A HELLER-COOK (DIRECTOR) |
Mailing Address: | 8203 Lichtenauer Dr Lenexa |
State: | KS US |
Postal Code: | 662191637 |
Phone Number: | 9138599707 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2013 |
NPI Last Update Date: | 12/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |