Organization
LIFE CARE PREMIER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABBY RICHARDSON (HEALTH CARE)
(773) 606-7222
Entity
Organization
Contact information
Practice address
16400 N 138TH LN, SURPRISE, AZ 85374-7031
(773) 606-7222
Mailing address
4690 S LAKESHORE DR APT 3052, TEMPE, AZ 85282-1174
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
03/15/2021
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