Provider Demographics
NPI:1568775245
Name:LIFECARE RESOURCE GROUP INC.
Entity Type:Organization
Organization Name:LIFECARE RESOURCE GROUP INC.
Other - Org Name:BRIGHTSTAR LIFECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-928-9150
Mailing Address - Street 1:634 GREEN ST NE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3316
Mailing Address - Country:US
Mailing Address - Phone:678-928-9150
Mailing Address - Fax:678-450-1999
Practice Address - Street 1:634 GREEN ST NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3316
Practice Address - Country:US
Practice Address - Phone:678-928-9150
Practice Address - Fax:678-450-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care