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Organization

LIFECARE MEDICAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES CARROLL COOPER (PRESIDENT)
(501) 764-0976
Entity
Organization

Contact information

Practice address
707 PARKWAY ST, STE. 101, CONWAY, AR 72034-5340
(501) 764-0976
(501) 764-0990
Mailing address
PO BOX 11770, CONWAY, AR 72034-0031
(501) 764-0976
(501) 764-0990

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167958716
AR
Enumeration date
02/18/2008
Last updated
11/23/2009
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