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Organization
LONG LIFE HEALTH CARE, INC.
Active
Organization
LONG LIFE HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE EDWARD LONG CRTT (PRESIDENT)
(614) 240-4247
Entity
Organization
Contact information
Practice address
6475 E MAIN ST STE 130, REYNOLDSBURG, OH 43068-7320
(614) 240-4247
(614) 861-4247
Mailing address
6475 E MAIN ST STE 130, REYNOLDSBURG, OH 43068-7320
(614) 240-4247
(614) 861-4247
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
332BX2000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262004
—
OH
Enumeration date
10/18/2006
Last updated
04/09/2009
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