| Organization Name: | LIFEQUEST |
| NPI Number: | 1083903959 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARYL KILSTROM (EXECUTIVE DIRECTOR) |
| Mailing Address: | 804 N Mentzer St Mitchell |
| State: | SD US |
| Postal Code: | 573012130 |
| Phone Number: | 6059962032 |
| Fax Number: | 6059960972 |
| NPI Enumeration Date: | 03/31/2011 |
| NPI Last Update Date: | 04/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |