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NPI Code Detail

MEDICARE: LIFECARE ALLIANCE

MEDICARE: LIFECARE ALLIANCE
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
1251E00000XHome Health AgencyN/AOH

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 : 1669429544
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFECARE ALLIANCE
Provider Business Mailing Address
First Line : 1699 W MOUND ST
Second Line : ADMINISTRATION
City : COLUMBUS
State : OH
Zip : 43223-1809
Country : US
Telephone Number : 614-278-3130
Fax Number : 614-278-3143
Provider Business Practice Location Address
First Line : 1699 W MOUND ST
Second Line : ADMINISTRATION
City : COLUMBUS
State : OH
Zip : 43223-1809
Country : US
Telephone Number : 614-278-3130
Fax Number : 614-278-3143
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. CHARLES W GEHRING
Credential :
Telephone Number : 614-437-2801
Provider Enumeration Date : 05/27/2006
Last Update Date : 04/23/2012

Similar Medicare Providers

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Practice Location Address:
1699 W MOUND ST
COLUMBUS, OH
43223-1809
Practice Phone: 614-437-2894
Practice Fax:
1932217569 — MRS. LINDA M FESTER RD, LD
Practice Location Address:
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1033228952 — HEATHER COLLEEN MCCORMICK M.S., R.D., L.D.
Practice Location Address:
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COLUMBUS, OH
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Practice Fax: 614-278-3143
1235237819 — MS. JANET ANN WALLACE CNP
Practice Location Address:
1699 W MOUND ST
COLUMBUS, OH
43223-1809
Practice Phone: 614-263-5006
Practice Fax: 614-263-5019
1023280955 — LIFECARE ALLIANCE
Practice Location Address:
1699 W MOUND ST , ADMINISTRATION
COLUMBUS, OH
43223-1809
Practice Phone: 614-278-3130
Practice Fax: 614-278-3143
1992978068 — LIFECARE ALLIANCE
Practice Location Address:
1699 W MOUND ST
COLUMBUS, OH
43223-1809
Practice Phone: 614-278-3130
Practice Fax: 614-278-3143

Directions to “LIFECARE ALLIANCE ” Practice Location

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