Organization
LIFETIME HEALTH CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED D MOHAMED (CEO)
(614) 679-1113
Entity
Organization
Contact information
Practice address
2361 WILLIAMS DR, BURNSVILLE, MN 55337-1984
(614) 679-1113
(614) 754-6635
Mailing address
2361 WILLIAMS DR, BURNSVILLE, MN 55337-1984
(614) 679-1113
(614) 754-6635
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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