Provider Demographics
NPI:1154690956
Name:LIFETIME LEARNING & SERVICES
Entity type:Organization
Organization Name:LIFETIME LEARNING & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:775-972-9318
Mailing Address - Street 1:11565 LONE DESERT DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-5566
Mailing Address - Country:US
Mailing Address - Phone:775-972-9318
Mailing Address - Fax:
Practice Address - Street 1:11565 LONE DESERT DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-5566
Practice Address - Country:US
Practice Address - Phone:775-972-9318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care