Life St. Mary

LBN: Life St. Mary
Life St. Mary is an health care organization with primary practice located at 2500 Interplex Drive , Trevose PA 19053-6943. The organization recently has 2 registered licenses in different health care specialties including Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Ambulatory Health Care Facilities / Adult Day Care. Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization is the primary health care specialty. Life St. Mary can be contacted via phone (215) 710-6114, or through Amerman, Emily via phone (215) 710-6114.

Contact Information

Primary practice address
2500 Interplex Drive Trevose PA 19053-6943
Fax:
Website:
Authorized official contact:
Name: Amerman, Emily MSW

Profile Details

NPI number 1003052820
LBN Legal business name Life St. Mary
DBA Doing business as
Authorized official Amerman, Emily MSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2008
Last updated Apr 21st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003052820 NPPES
Other H6551 CMS

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