| Life Support Services, Llc | |
|
202 Main Street Pembroke NC 28372 | |
| (919) 798-0967 | |
| Not Available |
| Full Name | Life Support Services, Llc |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 202 Main Street, Pembroke, North Carolina |
| Authorized Official Name and Position | Karen Mcdaniel (BUSINESS OPERATIONS MANAGER) |
| Authorized Official Contact | 9104919848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Support Services, Llc Po Box 2053 Garner NC 27529-2053 Ph: (919) 798-0967 | Life Support Services, Llc 202 Main Street Pembroke NC 28372 Ph: (919) 798-0967 |
| NPI Number | 1356846505 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356846505 | NPI | - | NPPES |
| 405127 | Medicaid | SC |
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