Organization
L.I.F.E. HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN MICHELLE DAVIDSON (C.E.O./OWNER)
(417) 683-4676
Entity
Organization
Contact information
Practice address
113 SW 2ND AVE, AVA, MO 65608-1558
(417) 683-4676
(417) 683-6093
Mailing address
PO BOX 1558, AVA, MO 65608-1558
(417) 683-4676
(471) 683-6093
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/27/2006
Last updated
08/22/2020
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