MEDICARE: LIFE CARE PLUS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	R2011	MD

General Provider Information

NPI Number	:	1316045073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE CARE PLUS, LLC

Provider Business Mailing Address
First Line	:	6475 NEW HAMPSHIRE AVE
Second Line	:	SUITE 504-E
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3269
Country	:	US
Telephone Number	:	301-270-6090
Fax Number	:	301-270-6272

Provider Business Practice Location Address
First Line	:	6475 NEW HAMPSHIRE AVE
Second Line	:	SUITE 504-E
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3269
Country	:	US
Telephone Number	:	301-270-6090
Fax Number	:	301-270-6272

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. REBECCA A. MOORE
Credential	:
Telephone Number	:	301-270-6090

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/02/2010

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Directions to “LIFE CARE PLUS, LLC ” Practice Location

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