| Lifeskills Connection Inc. | |
|
2800 Eastern Ave Bldg G Davenport IA 52803-2012 | |
| (563) 370-7995 | |
| (563) 888-1350 |
| Full Name | Lifeskills Connection Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2800 Eastern Ave Bldg G, Davenport, Iowa |
| Authorized Official Name and Position | Steve Daniel Reitan (OWNER) |
| Authorized Official Contact | 7122106105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeskills Connection Inc. 2800 Eastern Ave Bldg G Davenport IA 52803-2012 Ph: () - | Lifeskills Connection Inc. 2800 Eastern Ave Bldg G Davenport IA 52803-2012 Ph: (563) 370-7995 |
| NPI Number | 1295201754 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 10/22/2018 |
| Medicare PECOS PAC ID | 8123453651 |
|---|---|
| Medicare Enrollment ID | O20200110000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295201754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Penny K Kain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760492292 PECOS PAC ID: 0345316451 Enrollment ID: I20170829000487 |
| Provider Name | Elizabeth A Stone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346772761 PECOS PAC ID: 0244665776 Enrollment ID: I20200110001249 |
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