MEDICARE: LIFE RAFT PSYCHIATRY LLC

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	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1124855606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE RAFT PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	311 E PLEASANT VALLEY BLVD
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-5512
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 E PLEASANT VALLEY BLVD
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16602-5512
Country	:	US
Telephone Number	:	814-243-5365
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARGARET SHAFFER
Credential	:
Telephone Number	:	814-243-5365

Provider Enumeration Date	:	09/18/2024
Last Update Date	:	09/18/2024

Similar Medicare Providers

1891201851 — CORIE PAULIN
Practice Location Address:

311 E PLEASANT VALLEY BLVD FL 2
ALTOONA, PA
16602-5512

Practice Phone: 574-546-1900
Practice Fax: 574-546-1999

1851902811 — TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC
Practice Location Address:

311 E PLEASANT VALLEY BLVD
ALTOONA, PA
16602-5512

Practice Phone: 814-800-2579
Practice Fax:

1114256138 — MRS. FAWN LYNN BALDAUF PMHNP
Practice Location Address:

311 E PLEASANT VALLEY BLVD
ALTOONA, PA
16602-5512

Practice Phone: 814-458-1155
Practice Fax:

1780182949 — NOVUM LABORATORY, LLC
Practice Location Address:

313 E PLEASANT VALLEY BLVD
ALTOONA, PA
16602-5512

Practice Phone: 814-943-1272
Practice Fax: 814-254-4092

1942091756 — SARAH ELIZABETH RODRIGUEZ
Practice Location Address:

311 E PLEASANT VALLEY BLVD FL 2
ALTOONA, PA
16602-5512

Practice Phone: 574-546-1900
Practice Fax: 574-546-1999

1265311021 — GUIDESTAR ELDERCARE - PA
Practice Location Address:

311 E PLEASANT VALLEY BLVD FL 2
ALTOONA, PA
16602-5512

Practice Phone: 574-546-1900
Practice Fax: 574-546-1999

Directions to “LIFE RAFT PSYCHIATRY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.