LIFE CARE 360 LLC NPI 1275153579

NPI Information

NPI: 1275153579
Provider Name: LIFE CARE 360, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
12914 BROADWAY AVE
GARFIELD HEIGHTS, OH
ZIP 44125
Phone: (216) 848-9123
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LIFE CARE 360, LLC is a primary care clinic center in Garfield Heights, OH. LIFE CARE 360, LLC NPI is 1275153579. The provider is registered as an organization entity type.

The provider's business location address is:

12914 BROADWAY AVE
GARFIELD HEIGHTS, OH
ZIP 44125-859
Phone: (216) 848-9123

The provider's authorized official is Kenyatta Vance-anderson .
The authorized official title is Ceo and has the following contact phone number (216) 848-9123.

The enumeration date for this NPI number is 4/16/2020 and was last updated on 4/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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