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Organization
LIFE TIME HOME CARE SERVICES
Active
Organization
LIFE TIME HOME CARE SERVICES
Active
Other names
life time home care services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY KELLY LEE ETC (DIRECTOR/OWENER)
(678) 523-8082
Entity
Organization
Contact information
Practice address
577 PINE VALLEY DR, SUITE 200, POWDER SPRINGS, GA 30127-6629
(678) 523-8082
(678) 567-5246
Mailing address
577 PINE VALLEY DR, SUITE 200, POWDR SPRING, GA 30127
(678) 523-8082
(675) 567-5246
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
110-R-0225
GA
261QH0100X
Health Service Clinic/Center
110R0225
GA
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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