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NPI Code Detail

MEDICARE: LIFESONGS, INC.

MEDICARE: LIFESONGS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/CenterMA 46796FL

General Provider Information

NPI Number : 1205026911
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFESONGS, INC.
Provider Business Mailing Address
First Line : PO BOX 654
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34605-0654
Country : US
Telephone Number : 352-247-0226
Fax Number :
Provider Business Practice Location Address
First Line : 13216 SPRING HILL DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-5067
Country : US
Telephone Number : 352-684-8544
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : LISA DIANE DAVIS
Credential : OTA/L, LMT
Telephone Number : 352-247-0226
Provider Enumeration Date : 07/29/2007
Last Update Date : 07/29/2007

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Directions to “LIFESONGS, INC. ” Practice Location

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