Provider Demographics
NPI:1932282571
Name:LIFE ACCESS LLC
Entity Type:Organization
Organization Name:LIFE ACCESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GURINOWITSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-899-0477
Mailing Address - Street 1:1541 E TURKEYFOOT LAKE RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5367
Mailing Address - Country:US
Mailing Address - Phone:330-899-0477
Mailing Address - Fax:330-896-6355
Practice Address - Street 1:1541 E TURKEYFOOT LAKE RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-5367
Practice Address - Country:US
Practice Address - Phone:330-899-0477
Practice Address - Fax:330-896-6355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies