Provider Demographics
NPI:1275942005
Name:LIFEWAY COMMUNITY CARE & SITTING SERVICES
Entity Type:Organization
Organization Name:LIFEWAY COMMUNITY CARE & SITTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-591-1706
Mailing Address - Street 1:3600 WEST PIONEER PARKWAY SUITE 17
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013
Mailing Address - Country:US
Mailing Address - Phone:817-591-1706
Mailing Address - Fax:817-591-1707
Practice Address - Street 1:3600 WEST PIONEER PARKWAY SUITE 17
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013
Practice Address - Country:US
Practice Address - Phone:817-591-1706
Practice Address - Fax:817-591-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health