Organization
LIFETIME HOME CARE LLC
Active
Other names
LIFETIME HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
EGLOU G LOKOU (CO OWNER)
(770) 771-1696
Entity
Organization
Contact information
Practice address
7373 VALLEY VIEW LN APT 1060, DALLAS, TX 75240-5561
(770) 771-1696
Mailing address
2749 DOUGLAS DR N, CRYSTAL, MN 55422-2401
(770) 771-1696
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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