NPI | 1326223702 |
---|---|
Former Legal Business Name | LIFE TIME HOME CARE SERVICES |
Entity Type | Organization |
Authorized Contact | BETTY KELLY LEE Director/Owener 678-523-8082 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: GA 110-R-0225) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: GA 110R0225) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2008-01-04 |