Organization
LIFETIME HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORACE KEARSE (OWNER)
(803) 233-2221
Entity
Organization
Contact information
Practice address
1501 MAIN STREET COLUMBIA, SC 29201, 501, COLUMBIA, SC 29201
(803) 233-2221
Mailing address
1501 MAIN ST COLUMBIA, SC 29201, 501, COLUMBIA, SC 29201
(305) 528-1722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/26/2024
Last updated
07/24/2024
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