Provider Demographics
NPI:1235390089
Name:TRUSTED LIFE CARE
Entity Type:Organization
Organization Name:TRUSTED LIFE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUIDETTI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:469-499-2876
Mailing Address - Street 1:1425 GREENWAY DR
Mailing Address - Street 2:STE 300
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2486
Mailing Address - Country:US
Mailing Address - Phone:972-539-6060
Mailing Address - Fax:317-791-9139
Practice Address - Street 1:6447 S EAST ST
Practice Address - Street 2:STE C
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-2118
Practice Address - Country:US
Practice Address - Phone:317-585-9137
Practice Address - Fax:317-791-9139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies