MEDICARE: LIFE FORCE ELDERCARE CORP

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	311Z00000X	Custodial Care Facility	13983601	PA

General Provider Information

NPI Number	:	1649675257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE FORCE ELDERCARE CORP

Provider Business Mailing Address
First Line	:	3544 W CHESTER PIKE
Second Line	:	SUITE 216
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-4107
Country	:	US
Telephone Number	:	610-356-1443
Fax Number	:	610-359-1117

Provider Business Practice Location Address
First Line	:	3544 W CHESTER PIKE
Second Line	:	SUITE 216
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-4107
Country	:	US
Telephone Number	:	610-356-1443
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. VICTOR H EVEREKLIAN
Credential	:	MBA
Telephone Number	:	610-356-1443

Provider Enumeration Date	:	10/24/2014
Last Update Date	:	10/24/2014

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Directions to “LIFE FORCE ELDERCARE CORP ” Practice Location

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