Provider Demographics
NPI:1356520902
Name:LIFECARE SOLUTIONS LLC
Entity type:Organization
Organization Name:LIFECARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEIDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-824-8642
Mailing Address - Street 1:4701 PIEDMONTE CT
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-2438
Mailing Address - Country:US
Mailing Address - Phone:940-381-2273
Mailing Address - Fax:940-381-2710
Practice Address - Street 1:4701 PIEDMONTE CT
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-2438
Practice Address - Country:US
Practice Address - Phone:940-381-2273
Practice Address - Fax:940-381-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health