# LIFE TIME HOME CARE

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

## Provider details

- **NPI number:** 1851531198
- **Authorized official:** MRS. BETTY KELLY LEE (DIRECTOR)
- **Authorized official phone:** (678) 523-8082

## Contact information

- **Practice address:** 577 PINE VALLEY DR, POWDER SPRINGS, GA 30127-6629
- **Practice address phone:** (678) 523-8082
- **Mailing address:** 577 PINE VALLEY DR, POWDER SPRINGS, GA 30127-6629
- **Mailing address phone:** (678) 523-8082

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2009
- **Last updated:** 02/26/2009