DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC

MEDICARE: LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
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
1261QF0400XFederally Qualified Health Center (FQHC)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13619131OTHERMEDICARE PART B

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013964923
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC
Provider Business Mailing Address
First Line : 2725 LINCOLN ST E
Second Line :
City : CANTON
State : OH
Zip : 44707-2769
Country : US
Telephone Number : 330-454-2000
Fax Number : 330-454-7284
Provider Business Practice Location Address
First Line : 2725 LINCOLN ST E
Second Line :
City : CANTON
State : OH
Zip : 44707-2769
Country : US
Telephone Number : 330-454-2000
Fax Number : 330-454-7284
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : KATHRYN SEEBERGER
Credential :
Telephone Number : 330-454-2000
Provider Enumeration Date : 05/27/2006
Last Update Date : 05/02/2019

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:
2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614
Practice Phone: 770-345-9600
Practice Fax:
1972066611 — STEPHEN BARRETT MCNULTY DO
Practice Location Address:
2725 LINCOLN ST E
CANTON, OH
44707-2769
Practice Phone: 330-454-2000
Practice Fax:
1891735460 — DR. HOUNEINE JOHN GASHASH MD
Practice Location Address:
2725 LINCOLN ST E
CANTON, OH
44707-2769
Practice Phone: 330-454-2000
Practice Fax: 330-454-6184
1821023532 — DAVID MICHAEL COLA D.O.
Practice Location Address:
2725 LINCOLN ST E
CANTON, OH
44707-2769
Practice Phone: 330-454-2000
Practice Fax:
1427132984 — RICHARD D WATKINS CANTON COMMUNITY CLINIC INC.
Practice Location Address:
2725 LINCOLN ST E
CANTON, OH
44707-2769
Practice Phone: 330-454-2000
Practice Fax: 330-454-6184
1154547362 — THOMAS K MUN D.D.S.
Practice Location Address:
2725 LINCOLN ST E
CANTON, OH
44707-2769
Practice Phone: 330-454-2000
Practice Fax:

Directions to “LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.