| NPI | 1588326557 |
|---|---|
| Other Name | LIFESTYLE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | ALONZA KYLE FITTS Agency CEO 252-204-6054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2022-01-04 |