Provider Demographics
NPI:1598941767
Name:LIFE MATTERSI INC.
Entity Type:Organization
Organization Name:LIFE MATTERSI INC.
Other - Org Name:INDEPENDENT LIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY OF CORP.
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:LUNYOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-223-2754
Mailing Address - Street 1:301B BUSINESS HH
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:MO
Mailing Address - Zip Code:63957-9597
Mailing Address - Country:US
Mailing Address - Phone:573-223-2754
Mailing Address - Fax:
Practice Address - Street 1:301B BUSINESS HH
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:MO
Practice Address - Zip Code:63957-9597
Practice Address - Country:US
Practice Address - Phone:573-223-2754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFE MATTERS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251C00000X, 320900000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385H00000XRespite Care FacilityRespite Care