Provider Demographics
NPI:1861863623
Name:LIFECALL HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:LIFECALL HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MWANGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-726-0024
Mailing Address - Street 1:151 HARRISON ST STE 205
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01331-2744
Mailing Address - Country:US
Mailing Address - Phone:978-248-9610
Mailing Address - Fax:978-248-9611
Practice Address - Street 1:151 HARRISON ST STE 205
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-2744
Practice Address - Country:US
Practice Address - Phone:978-248-9610
Practice Address - Fax:978-248-9611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health