| NPI | 1508103896 |
|---|---|
| Doing Business As | LIFE ENTERPRISES |
| Entity Type | Organization |
| Authorized Contact | GREG ORDWAY Vice President 573-256-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-08 |