Organization
LIFECARE SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KEYS (CEO)
(480) 446-9010
Entity
Organization
Contact information
Practice address
500 GLASS LN STE H, MODESTO, CA 95356
(951) 696-0953
(951) 696-0989
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(866) 260-2230
(858) 444-2853
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
54982
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
54982
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
54982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922242866
—
CA
01
—
54982
HMDR
CA
Enumeration date
04/22/2009
Last updated
08/06/2018
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