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Organization
LIFESPAN HEALTHCARE LLC
Active
Organization
LIFESPAN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES ORTIZ (PRESIDENT/CEO)
(267) 388-1320
Entity
Organization
Contact information
Practice address
4755 HARTEL AVE, PHILADELPHIA, PA 19136-3306
(267) 388-1320
Mailing address
4755 HARTEL AVE, PHILADELPHIA, PA 19136-3306
(267) 388-1320
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6304435
PA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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