# LIFE HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFE @ HOME, LLC
- **Other names:** Life @ Home, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851755987
- **Legal business name:** LIFE @ HOME, LLC
- **Authorized official:** MRS. DAISY HOLMES RN (MANAGING MEMBER)
- **Authorized official phone:** (337) 463-3595

## Contact information

- **Practice address:** 515A WASHINGTON AVE, MANSFIELD, LA 71052-3105
- **Practice address phone:** (337) 871-8112
- **Practice address fax:** (337) 871-9013
- **Mailing address:** 515A WASHINGTON AVE, MANSFIELD, LA 71052-3105
- **Mailing address phone:** (337) 871-8112
- **Mailing address fax:** (337) 871-9013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 10567 | LA | Yes |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 04/05/2016