| NPI | 1114743846 |
|---|---|
| Doing Business As | LIFE AND LONGEVITY HOMECARE LLC |
| Entity Type | Organization |
| Authorized Contact | TYKERIHA GRAHAM Owner/ Administrator 904-294-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |