| NPI | 1619154499 |
|---|---|
| Doing Business As | LIFELONGCARE |
| Entity Type | Organization |
| Authorized Contact | AKINSOLA KINGS OJO General Manager 803-647-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2022-07-21 |