Provider Demographics
NPI:1932723517
Name:SENIOR LIFESTYLE SOLUTIONS, LTD.
Entity Type:Organization
Organization Name:SENIOR LIFESTYLE SOLUTIONS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TEATOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-354-8977
Mailing Address - Street 1:282 MEMORIAL CT STE A
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-6277
Mailing Address - Country:US
Mailing Address - Phone:815-354-8977
Mailing Address - Fax:
Practice Address - Street 1:282 MEMORIAL CT STE A
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-6277
Practice Address - Country:US
Practice Address - Phone:815-354-8977
Practice Address - Fax:815-893-0663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-30
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care