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Contact Information

LIFE SUPPORT SERVICES, LLC
202 MAIN STREET
PEMBROKE, NC28372
 Phone: 919-798-0967
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for LIFE SUPPORT SERVICES, LLC

NPI Number 1356846505
LBN Legal business name LIFE SUPPORT SERVICES, LLC
Authorized official KAREN MCDANIEL - (BUSINESS OPERATIONS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2018
Last updated 01/24/2019 - About 7 years ago
Identifiers
NC License # P006527
SC Medicaid 405127
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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