Provider Demographics
NPI:1114358983
Name:LIFEWORX LLC
Entity Type:Organization
Organization Name:LIFEWORX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MERILEE
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS SPEC ED
Authorized Official - Phone:785-215-6648
Mailing Address - Street 1:2611 SW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-3119
Mailing Address - Country:US
Mailing Address - Phone:785-215-6648
Mailing Address - Fax:
Practice Address - Street 1:2611 SW 21ST ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3119
Practice Address - Country:US
Practice Address - Phone:785-215-6648
Practice Address - Fax:785-422-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care