Organization
LIFETIME ASSISTANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN JUDGE (CHIEF FINANCIAL OFFICE)
(585) 426-4120
Entity
Organization
Contact information
Practice address
425 PAUL RD, ROCHESTER, NY 14624-4721
(585) 426-4120
(585) 426-4755
Mailing address
425 PAUL RD, ROCHESTER, NY 14624-4721
(585) 426-4120
(585) 426-4755
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
7041440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804513
—
NY
Enumeration date
03/28/2007
Last updated
08/22/2020
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