Life Care 360, LLC
NPI #1275153579 in Garfield Heights, Ohio
Provider Information
- NPI Number
- 1275153579
- Entity Type
- Organization
- Organization Name
- Life Care 360, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 16, 2020
- Last Updated
- Apr 16, 2020
Practice Location
- Address
- 12914 BROADWAY AVE
- City
- Garfield Heights
- State
- Ohio
- ZIP Code
- 44125-1859
- Phone
- (216) 848-9123
Authorized Official
- Name
- KENYATTA VANCE-ANDERSON
- Title
- CEO
- Phone
- (216) 848-9123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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