Provider Demographics
NPI:1932810967
Name:LIFES PERFECT CHOICE LLC
Entity type:Organization
Organization Name:LIFES PERFECT CHOICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:PATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:631-949-1814
Mailing Address - Street 1:435 CLIFT ST
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-3707
Mailing Address - Country:US
Mailing Address - Phone:631-949-1814
Mailing Address - Fax:
Practice Address - Street 1:435 CLIFT ST
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-3707
Practice Address - Country:US
Practice Address - Phone:631-949-1814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care