Provider Demographics
NPI:1225363377
Name:LIFE STEPS FOUNDATION, INC.
Entity Type:Organization
Organization Name:LIFE STEPS FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-410-8190
Mailing Address - Street 1:5839 GREEN VALLEY CIR STE 204
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6963
Mailing Address - Country:US
Mailing Address - Phone:310-410-8190
Mailing Address - Fax:310-410-8196
Practice Address - Street 1:3450 BROAD ST
Practice Address - Street 2:STE 104
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-7214
Practice Address - Country:US
Practice Address - Phone:805-762-4475
Practice Address - Fax:805-549-8973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management