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NPI Code Detail

MEDICARE: LW CARE LLC

MEDICARE: LW CARE 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1518641802
Entity Type Code : Organization
Provider Name (Legal Business Name) : LW CARE LLC
Provider Business Mailing Address
First Line : 2550 W UNION HILLS DR STE 350
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-5187
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3010 SANTA FE CT FL 1
Second Line :
City : MISSOULA
State : MT
Zip : 59808-1730
Country : US
Telephone Number : 915-247-6129
Fax Number :
Authorized Official
Title or Position : ENTITY
Name : LIVE WELL
Credential :
Telephone Number : 915-247-6129
Provider Enumeration Date : 06/15/2023
Last Update Date : 06/15/2023

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Directions to “LW CARE LLC ” Practice Location

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