# LYFETYME HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lyfetyme Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497561039
- **Authorized official:** MR. LESTER EARL HOLLIMAN JR. (OWNER)
- **Authorized official phone:** (757) 998-3024

## Contact information

- **Practice address:** 218 CEDAR ST, SUFFOLK, VA 23434-4649
- **Practice address phone:** (757) 998-3024
- **Mailing address:** 218 CEDAR ST, SUFFOLK, VA 23434-4649
- **Mailing address phone:** (757) 998-3024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/09/2024
- **Last updated:** 12/09/2024