Provider Demographics
NPI:1558661306
Name:LIFE CARE MEDICAL SOLUTIONS, INC
Entity type:Organization
Organization Name:LIFE CARE MEDICAL SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-988-6832
Mailing Address - Street 1:PO BOX 711
Mailing Address - Street 2:175 S. JEFFERSON ST. SUITE C
Mailing Address - City:NASHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47448-0711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:175 S. JEFFERSON ST.
Practice Address - Street 2:SUITE C
Practice Address - City:NASHVILLE
Practice Address - State:IN
Practice Address - Zip Code:47448-0711
Practice Address - Country:US
Practice Address - Phone:812-988-6832
Practice Address - Fax:812-988-6831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN100124121251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health