Life Enhancement Services

LBN: Life Enhancement Services
Life Enhancement Services is an health care organization with primary practice located at 455 Rast St Suite A, Sumter SC 29150-2579. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Life Enhancement Services can be contacted via phone (704) 560-4332, or through Gray, Herbert A via phone (980) 265-1064.

Contact Information

Primary practice address
455 Rast St Suite A Sumter SC 29150-2579
Phone: (704) 560-4332
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gray, Herbert A
Phone: (980) 265-1064

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1982910634
LBN Legal business name Life Enhancement Services
DBA Doing business as
Authorized official Gray, Herbert A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2010
Last updated Jan 28th, 2016 - about 10 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 1982910634 NPPES
South Carolina MEDICAID 109BHS

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