Provider Demographics
NPI:1760699672
Name:LIFE STEPS FOUNDATION INC
Entity Type:Organization
Organization Name:LIFE STEPS FOUNDATION INC
Other - Org Name:SANTA MARIA WISDOM CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:J
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-349-9810
Mailing Address - Street 1:1414 N BROADWAY STE A
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-2222
Mailing Address - Country:US
Mailing Address - Phone:805-349-9810
Mailing Address - Fax:805-349-9160
Practice Address - Street 1:1414 N BROADWAY STE A
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-2222
Practice Address - Country:US
Practice Address - Phone:805-349-9810
Practice Address - Fax:805-349-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care