Organization
LIFELONG MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN SMITH (CREDENTIAL COORDINATOR)
(510) 981-4174
Entity
Organization
Contact information
Practice address
2344 6TH ST, BERKELEY, CA 94710-2412
(510) 981-4100
Mailing address
2344 6TH ST, BERKELEY, CA 94710-2412
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
95003280
CA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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