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Contact Information

MDS LIFESTYLE LLC
136 W. MAIN ST,
STE 202
MESA, AZ85201
 Phone: 480-827-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for MDS LIFESTYLE LLC

NPI # 1912217647
LBN Legal business name MDS LIFESTYLE LLC
Authorized official TRACY SULZER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2010
Last updated 10/15/2010 - About 16 years ago
Identifiers n/a
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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