Provider Demographics
NPI:1285950998
Name:NEW LIFE CARE CENTER INC,
Entity type:Organization
Organization Name:NEW LIFE CARE CENTER INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MILA-PRATS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-705-3014
Mailing Address - Street 1:5941 NW 173RD DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5109
Mailing Address - Country:US
Mailing Address - Phone:305-705-3014
Mailing Address - Fax:305-873-6173
Practice Address - Street 1:5941 NW 173RD DR
Practice Address - Street 2:SUITE 6
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5109
Practice Address - Country:US
Practice Address - Phone:305-705-3014
Practice Address - Fax:305-873-6173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization