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NPI Code Detail

MEDICARE: LIFE CARE ASSOCIATES, LLC

MEDICARE: LIFE CARE ASSOCIATES, 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
1314000000XSkilled Nursing FacilityNH2610VA

Other Identifiers

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

General Provider Information

NPI Number : 1467493858
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE CARE ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 3001 KEITH ST NW
Second Line :
City : CLEVELAND
State : TN
Zip : 37312-3713
Country : US
Telephone Number : 423-473-5751
Fax Number : 423-339-8342
Provider Business Practice Location Address
First Line : 315 E LEE HWY
Second Line :
City : NEW MARKET
State : VA
Zip : 22844-3103
Country : US
Telephone Number : 540-740-8041
Fax Number : 540-740-8757
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : CINDY CROSS
Credential :
Telephone Number : 423-473-5867
Provider Enumeration Date : 06/09/2006
Last Update Date : 02/12/2008

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Directions to “LIFE CARE ASSOCIATES, LLC ” Practice Location

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