Organization
LIFETIME MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KIGER (MEMBER)
(304) 865-7505
Entity
Organization
Contact information
Practice address
1215 AVERY ST, SUITE A, PARKERSBURG, WV 26101-4412
(304) 865-7505
(304) 865-0233
Mailing address
1215 AVERY ST, SUITE A, PARKERSBURG, WV 26101-4412
(304) 865-7505
(304) 865-0233
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810022725
—
WV
Enumeration date
04/18/2012
Last updated
04/18/2012
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