Provider Demographics
NPI:1649675257
Name:LIFE FORCE ELDERCARE CORP
Entity type:Organization
Organization Name:LIFE FORCE ELDERCARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:H
Authorized Official - Last Name:EVEREKLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:610-356-1443
Mailing Address - Street 1:3544 W CHESTER PIKE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4107
Mailing Address - Country:US
Mailing Address - Phone:610-356-1443
Mailing Address - Fax:610-359-1117
Practice Address - Street 1:3544 W CHESTER PIKE
Practice Address - Street 2:SUITE 216
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4107
Practice Address - Country:US
Practice Address - Phone:610-356-1443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13983601311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility