Provider Demographics
NPI:1578855573
Name:FIRST LIFECONNECT, LLC
Entity Type:Organization
Organization Name:FIRST LIFECONNECT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:GEOFFREY
Authorized Official - Last Name:BRANDVEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-765-7283
Mailing Address - Street 1:13857 E HAWKNEST ROAD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262
Mailing Address - Country:US
Mailing Address - Phone:800-765-7283
Mailing Address - Fax:866-432-1596
Practice Address - Street 1:13857 E HAWKNEST ROAD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262
Practice Address - Country:US
Practice Address - Phone:800-765-7283
Practice Address - Fax:866-432-1596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies