| Life Care Premier Services Llc | |
|
16400 N 138th Ln Surprise AZ 85374-7031 | |
| (773) 606-7222 | |
| Not Available |
| Full Name | Life Care Premier Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16400 N 138th Ln, Surprise, Arizona |
| Authorized Official Name and Position | Abby Richardson (HEALTH CARE) |
| Authorized Official Contact | 7736067222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Care Premier Services Llc 4690 S Lakeshore Dr Apt 3052 Tempe AZ 85282-1174 Ph: () - | Life Care Premier Services Llc 16400 N 138th Ln Surprise AZ 85374-7031 Ph: (773) 606-7222 |
| NPI Number | 1164039723 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164039723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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