Organization Name: | LIFEWAYS, INC |
NPI Number: | 1417183906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDY A CORDENIZ (CEO) |
Mailing Address: | 290 Willamette St Umatilla |
State: | OR US |
Postal Code: | 978826601 |
Phone Number: | 5418899167 |
Fax Number: | 5418897873 |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 12/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |