Healthcare Provider Details
I. General information
NPI: 1982917811
Provider Name (Legal Business Name): LIFESOLUTIONSPLUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2010
Last Update Date: 06/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2850 WILLOW STREET PIKE N STE D
WILLOW STREET PA
17584-9200
US
IV. Provider business mailing address
2850 WILLOW STREET PIKE N STE D
WILLOW STREET PA
17584-9200
US
V. Phone/Fax
- Phone: 717-464-7110
- Fax: 717-464-7109
- Phone: 717-464-7110
- Fax: 717-464-7109
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 6000007651 |
| License Number State | PA |
VIII. Authorized Official
Name:
RUTH
ANN
DUNNING
Title or Position: PRESIDENT
Credential:
Phone: 717-464-7110