| NPI | 1184899494 |
|---|---|
| Doing Business As | LIFE BEAVER COUNTY |
| Entity Type | Organization |
| Authorized Contact | DAVID A. HAMM V. P. Financial Management 724-742-2226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: PA 001976540) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |