Organization
LIFE CARE
Active
Organization
LIFE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJ KHAN (CEO)
(929) 635-8327
Entity
Organization
Contact information
Practice address
331 EMERSON PL, VALLEY STREAM, NY 11580-2803
(929) 635-8327
Mailing address
331 EMERSON PL, VALLEY STREAM, NY 11580-2803
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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