Life Way Services

LBN: Life Way Services
Life Way Services is an health care organization with primary practice located at 7228 Statesman Blvd , Ruther Glen VA 22546-5246. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Life Way Services can be contacted via phone (804) 296-7875, or through Gray, Ivana A via phone (804) 296-7875.

Contact Information

Primary practice address
7228 Statesman Blvd Ruther Glen VA 22546-5246
Phone: (804) 296-7875
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray, Ivana A
Phone: (804) 296-7875

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1982248704
LBN Legal business name Life Way Services
DBA Doing business as
Authorized official Gray, Ivana A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2019
Last updated Nov 5th, 2019 - about 6 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 1982248704 NPPES
Virginia MEDICAID 8042967875

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