| Lifetime Care Services Llc | |
|
6706 Nw 72nd Ave Miami FL 33166-3032 | |
| (305) 504-1749 | |
| Not Available |
| Full Name | Lifetime Care Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6706 Nw 72nd Ave, Miami, Florida |
| Authorized Official Name and Position | Crisbel Suarez (AMBR) |
| Authorized Official Contact | 3055041749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Care Services Llc 6706 Nw 72nd Ave Miami FL 33166-3032 Ph: () - | Lifetime Care Services Llc 6706 Nw 72nd Ave Miami FL 33166-3032 Ph: (305) 504-1749 |
| NPI Number | 1245852383 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 0244619732 |
|---|---|
| Medicare Enrollment ID | O20220613002230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245852383 | NPI | - | NPPES |
| Provider Name | Kenechukwu Emeka Okeke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518377811 PECOS PAC ID: 1456604479 Enrollment ID: I20190115002753 |
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