| NPI | 1669981775 |
|---|---|
| Former Legal Business Name | LIFETIME HEALTH CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | VICTORIA A AYENI Administrator 678-985-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 067R0355) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |