MEDICARE: TRUSTED LIFE CARE, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043477920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUSTED LIFE CARE, INC.

Provider Business Mailing Address
First Line	:	13284 POND SPRINGS RD
Second Line	:	STE 302
City	:	AUSTIN
State	:	TX
Zip	:	78729-7177
Country	:	US
Telephone Number	:	512-485-7150
Fax Number	:

Provider Business Practice Location Address
First Line	:	13284 POND SPRINGS RD
Second Line	:	STE 302
City	:	AUSTIN
State	:	TX
Zip	:	78729-7177
Country	:	US
Telephone Number	:	512-485-7150
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM J GUIDETTI
Credential	:
Telephone Number	:	469-499-2857

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	02/19/2010

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Directions to “TRUSTED LIFE CARE, INC. ” Practice Location

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