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Organization
TOTAL LIFETIME CARE MEDICAL AFFILIATES INC.
Active
Organization
TOTAL LIFETIME CARE MEDICAL AFFILIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE ANDREWS (ADMINISTRATIVE)
(330) 524-6015
Entity
Organization
Contact information
Practice address
1 MEMORY LN, SUITE 200, GARRETTSVILLE, OH 44231-9443
(330) 527-4852
(330) 527-4866
Mailing address
1 MEMORY LN STE 200, GARRETTSVILLE, OH 44231-9415
(330) 527-4852
(330) 527-4866
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35057658
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141541
ANTHEM
OH
05
—
2395242
—
OH
Enumeration date
08/30/2006
Last updated
11/11/2025
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