LIFESTAGES - SAMARITAN CENTERS FOR WOMEN LTD NPI 1205882677

NPI Information

LIFESTAGES - SAMARITAN CENTERS FOR WOMEN LTD is a specialist in Dayton, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LIFESTAGES - SAMARITAN CENTERS FOR WOMEN LTD NPI is 1205882677. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9000 N MAIN ST
SUITE 232
DAYTON, OH
ZIP 45415-180
Phone: (937) 277-8988
Fax: (937) 832-2421

The provider's authorized official is Kelly Guerrant .
The authorized official title is Executive Assistance and has the following contact phone number (937) 277-8988.

The CLIA number assigned to this NPI record is 36D2151065 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/26/2006 and was last updated on 6/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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