# LIFE CARE HOME HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306158217
- **Authorized official:** MR. RICK W GRIFFIN (PRESIDENT)
- **Authorized official phone:** (706) 303-5500

## Contact information

- **Practice address:** 15201 OLIVE BLVD, APT 345, CHESTERFIELD, MO 63017
- **Practice address phone:** (561) 806-7027
- **Practice address fax:** (561) 806-7032
- **Mailing address:** PO BOX 200, AUGUSTA, GA 30903-0200
- **Mailing address phone:** (706) 303-5500
- **Mailing address fax:** (706) 854-7382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2010
- **Last updated:** 03/08/2016