Healthcare Provider Details

I. General information

NPI: 1164389342
Provider Name (Legal Business Name): LIFEGLOW HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 N MARKET ST STE 111
WILMINGTON DE
19801-1156
US

IV. Provider business mailing address

1201 N MARKET ST STE 111
WILMINGTON DE
19801-1156
US

V. Phone/Fax

Practice location:
  • Phone: 503-877-1314
  • Fax: 305-901-5400
Mailing address:
  • Phone: 503-877-1314
  • Fax: 305-901-5400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. DIGANT J LIMBANI
Title or Position: OWNER
Credential:
Phone: 503-877-1314