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NPI Code Detail

MEDICARE: LIFECARE SOLUTIONS INC

MEDICARE: LIFECARE SOLUTIONS 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
1332B00000XDurable Medical Equipment & Medical Supplies54975CA
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)54975CA
3332BX2000XOxygen Equipment & Supplies (DME)54975CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
254975OTHERCAMEDICAL DEVICE RETAILER

General Provider Information

NPI Number : 1134375892
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFECARE SOLUTIONS INC
Provider Business Mailing Address
First Line : PO BOX 40700
Second Line :
City : MESA
State : AZ
Zip : 85274-0700
Country : US
Telephone Number : 866-260-2230
Fax Number : 858-444-2853
Provider Business Practice Location Address
First Line : 72216 NORTHSHORE ST STE 104
Second Line :
City : THOUSAND PALMS
State : CA
Zip : 92276
Country : US
Telephone Number : 760-568-3783
Fax Number : 760-568-3902
Authorized Official
Title or Position : CEO
Name : WILLIAM KEYS
Credential :
Telephone Number : 480-446-9010
Provider Enumeration Date : 08/13/2008
Last Update Date : 08/03/2018

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Directions to “LIFECARE SOLUTIONS INC ” Practice Location

Language Start Address Practice Location
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