Organization
LIFE HEALTHCARE SERVICES, INC.
Active
Other names
Life Healthcare Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RENE HERNANDEZ (CEO)
(305) 826-5757
Entity
Organization
Contact information
Practice address
2170 W 73RD ST, HIALEAH, FL 33016-1820
(305) 826-5757
(305) 826-5767
Mailing address
2170 W 73RD ST, HIALEAH, FL 33016-1820
(305) 826-5757
(305) 826-5767
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PH28159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146076
PK
—
Enumeration date
06/03/2014
Last updated
06/03/2014
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