Provider Demographics
NPI:1750759064
Name:LIFE HEALTH SYSTEM INC
Entity type:Organization
Organization Name:LIFE HEALTH SYSTEM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHALON
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:BESS-ORR
Authorized Official - Suffix:
Authorized Official - Credentials:RMA, NCICS
Authorized Official - Phone:7876-457-7418
Mailing Address - Street 1:3331 NW 182ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-3441
Mailing Address - Country:US
Mailing Address - Phone:786-457-7418
Mailing Address - Fax:
Practice Address - Street 1:3331 NW 182ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-3441
Practice Address - Country:US
Practice Address - Phone:786-457-7418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty