MEDICARE: SUSTAINABLE LIFESTYLE MANAGEMENT INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171000000X	Military Health Care Provider
2	174200000X	Meals Provider
3	311Z00000X	Custodial Care Facility
4	332U00000X	Home Delivered Meals
5	347C00000X	Private Vehicle
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1881557304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSTAINABLE LIFESTYLE MANAGEMENT INC

Provider Business Mailing Address
First Line	:	2009 MACKENZIE WAY STE 100
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5338
Country	:	US
Telephone Number	:	844-559-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2009 MACKENZIE WAY STE 100
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5338
Country	:	US
Telephone Number	:	844-559-5500
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MARLENE JONES
Credential	:
Telephone Number	:	980-375-1370

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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