Organization
LIFE @ HOME LLC
Active
Parent organization
LIFE @ HOME LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE @ HOME LLC
Authorized official
MRS. DAISY WASHINGTON HOLMES (MANAGING MEMBER)
(318) 871-8112
Entity
Organization
Contact information
Practice address
515A WASHINGTON AVE, MANSFIELD, LA 71052-3105
(318) 871-8112
Mailing address
515A WASHINGTON AVE, MANSFIELD, LA 71052-3105
(318) 871-8112
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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