Organization · NPI-2
Life Pca LLC
Home Health Aide · Livingston, NJ
NPI number1679419683
StatusActive
Last updated in NPPESApr 24, 2026
Details
- NPI
- 1679419683
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Pca LLC
- Organization subpart
- No
- Enumeration date
- Apr 24, 2026
- Certification date
- Apr 24, 2026
- Last updated
- Apr 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
70 S Orange Ave Ste 220Livingston, NJ 07039-4920
Phone 973-200-3045
Mailing address
70 S Orange Ave Ste 220Livingston, NJ 07039-4920
Phone 973-200-3045
Authorized official
Dov Brafman
Ceo
9732003045
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