# LIFELONG MEDICAL CARE

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

## Provider details

- **NPI number:** 1871919233
- **Authorized official:** MARTY LYNCH (CEO)
- **Authorized official phone:** (510) 981-4100

## Contact information

- **Practice address:** 1415 HARRISON ST, OAKLAND, CA 94612-3922
- **Practice address phone:** (510) 981-4136
- **Mailing address:** 2344 6TH ST, BERKELEY, CA 94710-2412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2014
- **Last updated:** 03/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | FHC70474G | — | CA |