Healthcare Provider Details

I. General information

NPI: 1457419400
Provider Name (Legal Business Name): US LIFE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 07/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3070 BRISTOL PIKE BUILDING 2, SUITE 133A
BENSALEM PA
19020-5364
US

IV. Provider business mailing address

3070 BRISTOL PIKE BUILDING 2, SUITE 133A
BENSALEM PA
19020-5364
US

V. Phone/Fax

Practice location:
  • Phone: 215-639-8862
  • Fax:
Mailing address:
  • Phone: 215-639-8862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1000002485
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROBIN M SERVILLAS
Title or Position: PRESIDENT
Credential:
Phone: 215-639-8862