Provider Demographics
NPI:1992536221
Name:LIFETOUCH CARE CONNECT SERVICES,INC
Entity type:Organization
Organization Name:LIFETOUCH CARE CONNECT SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMELITA
Authorized Official - Middle Name:INGAN
Authorized Official - Last Name:AQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-878-3409
Mailing Address - Street 1:1323 DOLCETTO LN
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-6326
Mailing Address - Country:US
Mailing Address - Phone:805-878-3409
Mailing Address - Fax:805-623-5995
Practice Address - Street 1:1323 DOLCETTO LN
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-6326
Practice Address - Country:US
Practice Address - Phone:805-878-3409
Practice Address - Fax:805-623-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)