| Life Care Inc. | |
|
1427 Good Hope Rd Se Washington DC 20020 | |
| (202) 836-4841 | |
| Not Available |
| Full Name | Life Care Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1427 Good Hope Rd Se, Washington, District Of Columbia |
| Authorized Official Name and Position | Benedict B Foretia (CEO) |
| Authorized Official Contact | 2028364841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Care Inc. 1427 Good Hope Rd Se Washington DC 20020-5614 Ph: (202) 836-4841 | Life Care Inc. 1427 Good Hope Rd Se Washington DC 20020 Ph: (202) 836-4841 |
| NPI Number | 1194275172 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 3072884055 |
|---|---|
| Medicare Enrollment ID | O20170809003161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194275172 | NPI | - | NPPES |
| 086813700 | Medicaid | DC |
| Provider Name | Tuong V Thai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851548184 PECOS PAC ID: 1456507920 Enrollment ID: I20170419001859 |
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