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NPI Code Detail

MEDICARE: LIFECARE EMS LLC

MEDICARE: LIFECARE EMS LLC
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
13416L0300XLand Ambulance199MS

General Provider Information

NPI Number : 1154302594
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFECARE EMS LLC
Provider Business Mailing Address
First Line : 101 W WATER ST
Second Line :
City : CARTHAGE
State : MS
Zip : 39051-4143
Country : US
Telephone Number : 601-267-4104
Fax Number :
Provider Business Practice Location Address
First Line : 105 HIGHWAY 35 S
Second Line :
City : CARTHAGE
State : MS
Zip : 39051-4037
Country : US
Telephone Number : 601-267-4104
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : LEIGH ANN GOOLSBY
Credential :
Telephone Number : 601-278-9377
Provider Enumeration Date : 11/11/2005
Last Update Date : 05/09/2023

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Directions to “LIFECARE EMS LLC ” Practice Location

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