Organization
LIFELONG MEDICAL CARE
Active
Organization
LIFELONG MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANWAR D SINGH (CFO)
(510) 981-4122
Entity
Organization
Contact information
Practice address
2730 ADELINE ST, OAKLAND, CA 94607-2408
(510) 446-7100
Mailing address
PO BOX 11247, BERKELEY, CA 94712-2247
(510) 981-4100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
CA
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
385H00000X
Respite Care
—
—
Other
Enumeration date
07/13/2018
Last updated
03/31/2022
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