Organization
LIFE CARE 360, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYATTA VANCE-ANDERSON (CEO)
(216) 848-9123
Entity
Organization
Contact information
Practice address
12914 BROADWAY AVE, GARFIELD HEIGHTS, OH 44125-1859
(216) 848-9123
Mailing address
12914 BROADWAY AVE, GARFIELD HEIGHTS, OH 44125-1859
(216) 848-9123
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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