MEDICARE: LIFECARE SERVICES, 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
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility		AL

General Provider Information

NPI Number	:	1780049874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFECARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	1715 S SHELTON BEACH RD
Second Line	:
City	:	EIGHT MILE
State	:	AL
Zip	:	36613-3426
Country	:	US
Telephone Number	:	251-401-0701
Fax Number	:	251-219-7278

Provider Business Practice Location Address
First Line	:	1715 S SHELTON BEACH RD
Second Line	:
City	:	EIGHT MILE
State	:	AL
Zip	:	36613-3426
Country	:	US
Telephone Number	:	251-401-0701
Fax Number	:	251-219-7278

Authorized Official
Title or Position	:	DIRECTOR
Name	:	STEPHANIE WILLIAMS
Credential	:
Telephone Number	:	251-401-0701

Provider Enumeration Date	:	12/16/2015
Last Update Date	:	12/16/2015

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Directions to “LIFECARE SERVICES, LLC ” Practice Location

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