Provider Demographics
NPI:1265858427
Name:LIVING ASSISTANCE SERVICES INC.
Entity type:Organization
Organization Name:LIVING ASSISTANCE SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:330-733-1532
Mailing Address - Street 1:10 NORTHWEST AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-1835
Mailing Address - Country:US
Mailing Address - Phone:330-733-1532
Mailing Address - Fax:330-475-1373
Practice Address - Street 1:10 NORTHWEST AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-1835
Practice Address - Country:US
Practice Address - Phone:330-733-1532
Practice Address - Fax:330-475-1373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care