Healthcare Provider Details
I. General information
NPI: 1558548321
Provider Name (Legal Business Name): LIFECARE INVESTMENTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2008
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4702 MARCELLA AVE
LAREDO TX
78041-3696
US
IV. Provider business mailing address
4008 LOUETTA RD # 451
SPRING TX
77388-4405
US
V. Phone/Fax
- Phone: 713-805-0777
- Fax: 281-907-0810
- Phone: 713-805-0777
- Fax: 281-907-0810
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
DUANE
EMELLE
STARKEY
Title or Position: PRESIDENT
Credential:
Phone: 713-805-0777