Organization
LIFETIME LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY RAY ALEXANDER (CEO)
(210) 651-0279
Entity
Organization
Contact information
Practice address
5425 NO LOOP 1604 E, SAN ANTONIO, TX 78247
(210) 651-0279
(210) 651-4579
Mailing address
5425 NO LOOP 1604 E, SAN ANTONIO, TX 78247
(210) 651-0279
(210) 651-4579
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/06/2007
Last updated
09/12/2024
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