| Organization Name: | LIFE COMPREHENSIVE HEALTHCARE, LLC |
| NPI Number: | 1134460538 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS ZIMMEL (OWNER) |
| Mailing Address: | 3331 Sunset Ave Ocean |
| State: | NJ US |
| Postal Code: | 077124554 |
| Phone Number: | 7325304700 |
| Fax Number: | 7324558855 |
| NPI Enumeration Date: | 03/09/2013 |
| NPI Last Update Date: | 03/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 3245 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |