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NPI Code Detail

MEDICARE: LIFE CONCEPTS OF THE CAROLINAS, LLC

MEDICARE: LIFE CONCEPTS OF THE CAROLINAS, 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1730585688
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE CONCEPTS OF THE CAROLINAS, LLC
Provider Business Mailing Address
First Line : 1320 MAIN ST
Second Line : SUITE 300
City : COLUMBIA
State : SC
Zip : 29201-3204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1320 MAIN ST
Second Line : SUITE 300
City : COLUMBIA
State : SC
Zip : 29201-3204
Country : US
Telephone Number : 919-706-7494
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : NATALKA A LOCK
Credential :
Telephone Number : 919-706-7494
Provider Enumeration Date : 11/04/2014
Last Update Date : 11/04/2014

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Directions to “LIFE CONCEPTS OF THE CAROLINAS, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.