Organization
LIFE CARE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD A KRAUS (PRESIDENT)
(856) 881-5800
Entity
Organization
Contact information
Practice address
601 N MAIN ST, GLASSBORO, NJ 08028-1637
(856) 881-5800
(856) 881-3511
Mailing address
601 N MAIN ST, PO BOX 900, GLASSBORO, NJ 08028-1637
(856) 881-5800
(856) 881-3511
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
12/13/2006
Last updated
09/26/2007
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