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Organization
LIFETIME CARE, LLC
Active
Organization
LIFETIME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M ISAAC (CEO/PROGRAM MANAGER)
(972) 839-3772
Entity
Organization
Contact information
Practice address
5801 MARVIN D LOVE FWY STE 309, DALLAS, TX 75237-2318
(972) 839-3772
(214) 339-2216
Mailing address
5801 MARVIN D LOVE FWY STE 309, DALLAS, TX 75237-2318
(972) 839-3772
(214) 339-2216
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
07/04/2017
Last updated
07/21/2022
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