| Lifelong Health Center, Inc. | |
|
642 N Main St Salem AR 72576-0220 | |
| (870) 895-5433 | |
| (870) 895-5430 |
| Full Name | Lifelong Health Center, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 642 N Main St, Salem, Arkansas |
| Authorized Official Name and Position | Laura Elizabeth Estes (CLINIC MANAGER) |
| Authorized Official Contact | 8708955433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Health Center, Inc. Po Box 220 Salem AR 72576-0220 Ph: (870) 895-5433 | Lifelong Health Center, Inc. 642 N Main St Salem AR 72576-0220 Ph: (870) 895-5433 |
| NPI Number | 1083683932 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 12/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083683932 | NPI | - | NPPES |
| 155977002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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