Organization
LIFECARE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KEYS (CEO)
(480) 446-9010
Entity
Organization
Contact information
Practice address
2240 W BROADWAY RD STE 101, MESA, AZ 85202
(480) 835-2140
(480) 733-7023
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(858) 565-1800
(858) 565-9223
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Y003865
AZ
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Y03865
AZ
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
444
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820268
—
AZ
Enumeration date
08/10/2006
Last updated
08/03/2018
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