| Lakes Lifeskills Llc | |
|
1612 Ithaca Ave Spirit Lake IA 51360-1642 | |
| (507) 840-1364 | |
| (507) 662-6655 |
| Full Name | Lakes Lifeskills Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1612 Ithaca Ave, Spirit Lake, Iowa |
| Authorized Official Name and Position | Linda Boyd Schofield (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5076626655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Lifeskills Llc Po Box 431 1612 Ithaca Spirit Lake IA 51360 Ph: (507) 840-1364 | Lakes Lifeskills Llc 1612 Ithaca Ave Spirit Lake IA 51360-1642 Ph: (507) 840-1364 |
| NPI Number | 1710201520 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710201520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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