# L.I.F.E. HOME CARE, INC

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

## Provider details

- **NPI number:** 1568433761
- **Authorized official:** MS. DAWN MICHELLE DAVIDSON (C.E.O./OWNER)
- **Authorized official phone:** (417) 683-4676

## Contact information

- **Practice address:** 113 SW 2ND AVE, AVA, MO 65608-1558
- **Practice address phone:** (417) 683-4676
- **Practice address fax:** (417) 683-6093
- **Mailing address:** PO BOX 1558, AVA, MO 65608-1558
- **Mailing address phone:** (417) 683-4676
- **Mailing address fax:** (471) 683-6093

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 08/22/2020