Provider Demographics
NPI:1952661142
Name:LIFESTYLE SECURE LLC
Entity Type:Organization
Organization Name:LIFESTYLE SECURE LLC
Other - Org Name:LIFESTYLE SECURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:STROZIER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:804-441-2539
Mailing Address - Street 1:PO BOX 17152
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-7152
Mailing Address - Country:US
Mailing Address - Phone:804-441-2539
Mailing Address - Fax:
Practice Address - Street 1:7709 CORNWALL RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6803
Practice Address - Country:US
Practice Address - Phone:804-364-4909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies