| Life Care 360, Llc | |
|
12914 Broadway Ave Garfield Heights OH 44125-1859 | |
| (216) 848-9123 | |
| Not Available |
| Full Name | Life Care 360, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12914 Broadway Ave, Garfield Heights, Ohio |
| Authorized Official Name and Position | Kenyatta Vance-anderson (CEO) |
| Authorized Official Contact | 2168489123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Care 360, Llc 12914 Broadway Ave Garfield Heights OH 44125-1859 Ph: (216) 848-9123 | Life Care 360, Llc 12914 Broadway Ave Garfield Heights OH 44125-1859 Ph: (216) 848-9123 |
| NPI Number | 1275153579 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275153579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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