Provider Demographics
NPI:1740685155
Name:LIFEWARD INC
Entity type:Organization
Organization Name:LIFEWARD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT HUMAN RESOURCES
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-281-7267
Mailing Address - Street 1:200 DONALD LYNCH BLVD
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-4815
Mailing Address - Country:US
Mailing Address - Phone:603-630-3778
Mailing Address - Fax:508-597-8421
Practice Address - Street 1:200 DONALD LYNCH BLVD
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-4815
Practice Address - Country:US
Practice Address - Phone:603-630-3778
Practice Address - Fax:508-597-8421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies