Organization
LIFECARE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA R JOHNSON (OWNER)
(314) 249-4413
Entity
Organization
Contact information
Practice address
11330 TRIESTE DR, SAINT LOUIS, MO 63146-5365
(314) 249-4413
Mailing address
11330 TRIESTE DR, SAINT LOUIS, MO 63146-5365
(314) 249-4413
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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