# LIFETIME HOME CARE, INC.

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

## Provider details

- **NPI number:** 1518987452
- **Authorized official:** MRS. CARMENCITA C. GAMBALAN RN (VP/ ADMINISTRATOR)
- **Authorized official phone:** (586) 825-0304

## Contact information

- **Practice address:** 3058 METROPOLITAN PKWY, SUITE 111, STERLING HEIGHTS, MI 48310-3671
- **Practice address phone:** (586) 825-0304
- **Practice address fax:** (586) 825-0306
- **Mailing address:** 3058 METROPOLITAN PKWY, SUITE 111, STERLING HEIGHTS, MI 48310-3671
- **Mailing address phone:** (586) 825-0304
- **Mailing address fax:** (586) 825-0306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | NOT REQUIRED BY MI | MI | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/22/2020