Provider Demographics
NPI:1922483460
Name:LIFE CARE SPECIALISTS, LLC
Entity Type:Organization
Organization Name:LIFE CARE SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEL
Authorized Official - Middle Name:EW
Authorized Official - Last Name:MUNORE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:407-748-0718
Mailing Address - Street 1:PO BOX 680938
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32868-0938
Mailing Address - Country:US
Mailing Address - Phone:407-748-0718
Mailing Address - Fax:407-445-9362
Practice Address - Street 1:924 N MAGNOLIA AVE
Practice Address - Street 2:SUITE 314
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3852
Practice Address - Country:US
Practice Address - Phone:407-748-0718
Practice Address - Fax:407-445-9362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health