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Contact Information

LIFE SOURCE SERVICES LLC
700 KINDERKAMACK RD STE 105
ORADELL, NJ07649
 Phone: 888-865-5103
 Fax: 201-225-4769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for LIFE SOURCE SERVICES LLC

NPI # 1396707139
LBN Legal business name LIFE SOURCE SERVICES LLC
Authorized official IRINA ETINGER - (CPA)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2006
Last updated 07/20/2018 - About 8 years ago
Identifiers
NJ License # 22933
NJ Medicaid 8608709
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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