Provider Demographics
NPI:1699090621
Name:TRUSTED LIFE CARE, INC.
Entity type:Organization
Organization Name:TRUSTED LIFE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUIDETTI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:469-499-2876
Mailing Address - Street 1:1425 GREENWAY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2486
Mailing Address - Country:US
Mailing Address - Phone:469-499-2834
Mailing Address - Fax:
Practice Address - Street 1:3200 RIDGELAKE DR
Practice Address - Street 2:STE 111
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4963
Practice Address - Country:US
Practice Address - Phone:469-499-2834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies