Healthcare Provider Details

I. General information

NPI: 1982684437
Provider Name (Legal Business Name): TRUSTED LIFE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 04/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 DEDHAM ST SUITE 600
CANTON MA
02021-1415
US

IV. Provider business mailing address

1425 GREENWAY DRIVE SUITE 300
IRVING TX
75038
US

V. Phone/Fax

Practice location:
  • Phone: 781-575-9676
  • Fax: 781-575-0184
Mailing address:
  • Phone: 469-499-2856
  • Fax: 469-499-2806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateMA

VIII. Authorized Official

Name: WILLIAM J GUIDETTI SR.
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 469-499-2857