| Lifeways | |
|
1200 N. West Avenue Jackson MI 49202 | |
| (517) 789-1209 | |
| (517) 796-4532 |
| Full Name | Lifeways |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 N. West Avenue, Jackson, Michigan |
| Authorized Official Name and Position | Maribeth Leonard (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5177891208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeways 1200 N. West Avenue Jackson MI 49202 Ph: (517) 780-3332 | Lifeways 1200 N. West Avenue Jackson MI 49202 Ph: (517) 789-1209 |
| NPI Number | 1043530603 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043530603 | NPI | - | NPPES |
| 171229 | Medicaid | MI | |
| 0C87612 | Other | MI | MEDICARE ID |
| 1712229 | Medicaid | MI |
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