Organization
LIFETIME MANAGEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P KIGER MPA (MEMBER)
(304) 428-7505
Entity
Organization
Contact information
Practice address
1215 AVERY ST STE A, PARKERSBURG, WV 26101-4412
(304) 428-7505
(304) 428-3854
Mailing address
1215 AVERY ST STE A, PARKERSBURG, WV 26101-4412
(304) 428-7505
(304) 428-3854
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4703010000
—
WV
Enumeration date
08/19/2008
Last updated
08/19/2008
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