| Lifesupport Interventions | |
|
103 E 4th St Ste 201 Sedalia MO 65301-4401 | |
| (660) 826-0440 | |
| Not Available |
| Full Name | Lifesupport Interventions |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 103 E 4th St Ste 201, Sedalia, Missouri |
| Authorized Official Name and Position | Marsha Jane Kranichfield (OWNER) |
| Authorized Official Contact | 6608260440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifesupport Interventions Po Box 1547 Sedalia MO 65302-1547 Ph: (660) 826-5960 | Lifesupport Interventions 103 E 4th St Ste 201 Sedalia MO 65301-4401 Ph: (660) 826-0440 |
| NPI Number | 1952659146 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 11/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952659146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1999137999 (Missouri) | Primary |
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