Organization
SENIOR TOTAL LIFE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK RICHARDS (PROGRAM DIRECTOR)
(704) 874-0602
Entity
Organization
Contact information
Practice address
1875 REMOUNT RD, GASTONIA, NC 28054-7413
(704) 874-0600
(704) 865-4785
Mailing address
1875 REMOUNT RD, GASTONIA, NC 28054-7413
(704) 874-0600
(704) 865-4785
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
04/26/2013
Last updated
11/26/2013
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