Provider Demographics
NPI:1184914871
Name:LIFES BRIDGES INC
Entity type:Organization
Organization Name:LIFES BRIDGES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:LUNYOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-701-2018
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:573-701-2018
Mailing Address - Fax:573-223-7589
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:573-701-2018
Practice Address - Fax:573-223-7589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management