Organization
LIFESTYLE HOME CARE LLC
Active
Other names
Lifestyle Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZA KYLE FITTS (AGENCY CEO)
(252) 204-6054
Entity
Organization
Contact information
Practice address
136 S MAIN ST OFC 6, WARRENTON, NC 27589-1966
(252) 204-6054
Mailing address
136 S MAIN ST OFC 6, WARRENTON, NC 27589-1966
(252) 204-6054
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
01/04/2022
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