Provider Demographics
NPI:1316201296
Name:CARE FOR LIFE HEALTH, INC.
Entity Type:Organization
Organization Name:CARE FOR LIFE HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT EUBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-358-3781
Mailing Address - Street 1:9701 APOLLO DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-4783
Mailing Address - Country:US
Mailing Address - Phone:301-358-3781
Mailing Address - Fax:301-358-2264
Practice Address - Street 1:9701 APOLLO DR
Practice Address - Street 2:SUITE 301
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-4783
Practice Address - Country:US
Practice Address - Phone:301-358-3781
Practice Address - Fax:301-358-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1112003251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health