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Organization
LYFETYME HOME CARE LLC
Active
Organization
LYFETYME HOME CARE LLC
Active
Other names
Lyfetyme Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTER EARL HOLLIMAN JR. (OWNER)
(757) 998-3024
Entity
Organization
Contact information
Practice address
218 CEDAR ST, SUFFOLK, VA 23434-4649
(757) 998-3024
Mailing address
218 CEDAR ST, SUFFOLK, VA 23434-4649
(757) 998-3024
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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