| NPI | 1275251126 |
|---|---|
| Doing Business As | LIFE CARE GROUP HOME |
| Former Legal Business Name | LIFE CARE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | ABDUL K. MANSARAY Vice CEO 571-575-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |