Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI # | 1841860301 |
| LBN Legal business name | CARE4LIFE HEALTHCARE SERVICES |
| Authorized official | CAROLYN SMITH - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/28/2021 |
| Last updated | 07/11/2023 - About 3 years ago |
| Identifiers | n/a |