Provider Demographics
NPI:1679103618
Name:LIFESTEPSLLC
Entity Type:Organization
Organization Name:LIFESTEPSLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHIER
Authorized Official - Middle Name:
Authorized Official - Last Name:RESPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-428-1100
Mailing Address - Street 1:10 LAKESIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3611
Mailing Address - Country:US
Mailing Address - Phone:856-428-1100
Mailing Address - Fax:
Practice Address - Street 1:10 LAKESIDE AVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3611
Practice Address - Country:US
Practice Address - Phone:856-428-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services