# LIFETIME PCS, LLC

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

## Provider details

- **NPI number:** 1821373168
- **Authorized official:** SANDRA THRASH (ADMINISTRATOR)
- **Authorized official phone:** (504) 962-3101

## Contact information

- **Practice address:** 1010 COMMON ST, SUITE 2660, NEW ORLEANS, LA 70112-2401
- **Practice address phone:** (504) 962-3101
- **Practice address fax:** (504) 962-3102
- **Mailing address:** 1010 COMMON ST, SUITE 2660, NEW ORLEANS, LA 70112-2401
- **Mailing address phone:** (504) 962-3101
- **Mailing address fax:** (504) 962-3102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | PCA 11694 | LA | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 10/19/2011