Organization
LIFECARE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGSLEY IGBINOSUN (OWNER)
(404) 431-6829
Entity
Organization
Contact information
Practice address
1325 CAPITAL CIR, LAWRENCEVILLE, GA 30043-8903
(404) 431-6829
Mailing address
1325 CAPITAL CIR, LAWRENCEVILLE, GA 30043-8903
(404) 431-6829
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/26/2012
Last updated
12/06/2013
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