| NPI | 1073281002 |
|---|---|
| Doing Business As | LIFE CHESTER |
| Entity Type | Organization |
| Authorized Contact | SHAUN TERRENCE SMITH President/CEO 570-522-3889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-09-03 |