Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1558118919 |
| LBN Legal business name | LIFECARE MEDICAL CENTER |
| Authorized official | CATHERINE HUSS - (CFO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/03/2024 |
| Last updated | 06/18/2024 - More than a year ago |
| Identifiers | n/a |
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LIFECARE MEDICAL CENTER
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