# LIFELONG MEDICAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073498689
- **Authorized official:** BRENT COPEN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (610) 918-4122

## Contact information

- **Practice address:** 150 HARBOUR WAY, RICHMOND, CA 94801-3554
- **Practice address phone:** (510) 981-4100
- **Mailing address:** 150 HARBOUR WAY, RICHMOND, CA 94801-3554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2025
- **Last updated:** 08/11/2025