MEDICARE: LIFECARE FAMILY SERVICES 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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1114070885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFECARE FAMILY SERVICES INC

Provider Business Mailing Address
First Line	:	112 S MADISON AVE
Second Line	:
City	:	AURORA
State	:	MO
Zip	:	65605-1427
Country	:	US
Telephone Number	:	417-678-6233
Fax Number	:	417-678-6232

Provider Business Practice Location Address
First Line	:	112 S MADISON AVE
Second Line	:
City	:	AURORA
State	:	MO
Zip	:	65605-1427
Country	:	US
Telephone Number	:	417-678-6233
Fax Number	:	417-678-6232

Authorized Official
Title or Position	:	ADMINISTRATOR DIRECTOR
Name	:	MR. KEN W KUSCHEL
Credential	:	MA
Telephone Number	:	417-678-6233

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/17/2007

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Directions to “LIFECARE FAMILY SERVICES INC ” Practice Location

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