| Organization Name: | LIFE HEALTH CARE, INC |
| NPI Number: | 1306260526 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL GBOEAH (ADMINISTRATOR) |
| Mailing Address: | 2738 Winnetka Ave N Ste 280 New Hope |
| State: | MN US |
| Postal Code: | 554272850 |
| Phone Number: | 7635461489 |
| Fax Number: | 7635461513 |
| NPI Enumeration Date: | 02/07/2014 |
| NPI Last Update Date: | 02/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 1067129-1-HCBS |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |