Basic Information
| Provider Information | |||||||||
| NPI: | 1942391545 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LIFETECH HEALTH SERVICES, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 440 W. BELL CT | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | OAK CREEK | ||||||||
| State: | WI | ||||||||
| PostalCode: | 53154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4147621300 | ||||||||
| FaxNumber: | 4147626484 | ||||||||
| Practice Location | |||||||||
| Address1: | 560 N. INDIANA AVE | ||||||||
| Address2: | |||||||||
| City: | CROWN POINT | ||||||||
| State: | IN | ||||||||
| PostalCode: | 46307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8888009445 | ||||||||
| FaxNumber: | 8664691469 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2006 | ||||||||
| LastUpdateDate: | 06/28/2010 | ||||||||
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| AuthorizedOfficialLastName: | TOGLIATTI | ||||||||
| AuthorizedOfficialFirstName: | REBECCA | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4147621300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BX2000X | 203000243 | IL | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |
No ID Information.