| Organization Name: | LIFE-CARE HOME HEALTH & MEDICAL SUPPLIES, INC |
| NPI Number: | 1710050307 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWN S NAIM (CEO) |
| Mailing Address: | 11843 Wilshire Blvd West Los Angeles |
| State: | CA US |
| Postal Code: | 900256601 |
| Phone Number: | 3104790094 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 09/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 100335 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |