Provider Demographics
NPI:1316126865
Name:L. I. F. E. SUPPORT S., INC.
Entity type:Organization
Organization Name:L. I. F. E. SUPPORT S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KELZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-547-6250
Mailing Address - Street 1:5580 PARK BLVD STE 9
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3328
Mailing Address - Country:US
Mailing Address - Phone:727-547-6250
Mailing Address - Fax:727-547-6260
Practice Address - Street 1:5580 PARK BLVD STE 9
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3328
Practice Address - Country:US
Practice Address - Phone:727-547-6250
Practice Address - Fax:727-547-6260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management