Organization
LIFE LONG CARE HEALTH SYSTEM LLC
Active
Parent organization
LIFE LONG CARE HEALTH SYSTEM LLC
Other names
Life Long Care at Home Health, Life Long Care Hospice & Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE LONG CARE HEALTH SYSTEM LLC
Authorized official
MR. VAUGHN BEASLEY (CEO)
(602) 318-7812
Entity
Organization
Contact information
Practice address
8433 N BLACK CANYON HWY # 100-5, PHOENIX, AZ 85021-4873
(602) 318-7812
Mailing address
8433 N BLACK CANYON HWY # 100-5, PHOENIX, AZ 85021-4873
(602) 318-7812
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
12/05/2022
Last updated
07/22/2023
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