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
1220 RESEARCH DR, REDLANDS, CA 92374
(909) 478-5413
(909) 799-8243
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(480) 446-9010
(480) 993-2033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
58629
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
58629
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
58629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275979254
—
CA
Enumeration date
05/16/2013
Last updated
08/06/2018
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