Provider Demographics
NPI:1174676910
Name:UNITED LIFECARE, P.A.
Entity Type:Organization
Organization Name:UNITED LIFECARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANUEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABREHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-292-9323
Mailing Address - Street 1:10908 FAWNLILY ST
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1302
Mailing Address - Country:US
Mailing Address - Phone:281-292-9323
Mailing Address - Fax:
Practice Address - Street 1:10908 FAWNLILY ST
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1302
Practice Address - Country:US
Practice Address - Phone:281-292-9323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty