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
24335 PRIELIPP RD BLDG A, STE 116, WILDOMAR, CA 92595
(951) 677-0591
(951) 696-1890
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(866) 260-2230
(858) 444-2853
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
54979
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
54979
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
54979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508013897
—
CA
Enumeration date
08/19/2008
Last updated
08/03/2018
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