Organization
LIFE HOME CARE LP
Active
Other names
UPMC Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA L WILSON (EXECUTIVE DIRECTOR)
(412) 773-6904
Entity
Organization
Contact information
Practice address
2310 JANE ST, SUITE 1300, PITTSBURGH, PA 15203-2362
(800) 247-6333
(412) 235-1335
Mailing address
250 TECHNOLOGY DR, ATTN: UPMC HOME MEDICAL EQUIPMENT, CANONSBURG, PA 15317-9564
(724) 873-7844
(949) 639-6368
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007759150075
—
PA
01
—
209290
UPMC HEALTH PLAN
—
Enumeration date
01/04/2006
Last updated
09/17/2012
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