Organization
LIFE LONG CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUNKE SARAH OJO MRS (ADMINISTRATOR)
(803) 316-9972
Entity
Organization
Contact information
Practice address
1151 BERGENFIELD LN, CHAPIN, SC 29036-8235
(803) 316-9972
Mailing address
1151 BERGENFIELD LN, CHAPIN, SC 29036-8235
(803) 316-9972
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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