Organization
LIFECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANORE BARTOLOME AGUILUZ (CEO)
(909) 982-2998
Entity
Organization
Contact information
Practice address
8900 BENSON AVE, SUITE E, MONTCLAIR, CA 91763-1669
(909) 982-2998
(909) 982-3688
Mailing address
8900 BENSON AVE, SUITE E, MONTCLAIR, CA 91763-1669
(909) 982-2998
(909) 982-3688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
05/08/2009
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