Organization
LIFE CHANGING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS WILLIAM ARENA PA-C (PHYSICIAN ASSISTANT)
(302) 494-1968
Entity
Organization
Contact information
Practice address
601 WELDIN RD, WILMINGTON, DE 19803-4941
(302) 494-1968
(302) 764-3735
Mailing address
601 WELDIN RD, WILMINGTON, DE 19803-4941
(302) 494-1968
(302) 764-3735
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
314000000X
Skilled Nursing Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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