Organization
LIFE TIME PERSONAL CARE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA DELAINE THRASH (OWNER)
(504) 962-3101
Entity
Organization
Contact information
Practice address
1010 COMMON ST, SUITE 2660, NEW ORLEANS, LA 70112-2401
(504) 962-3101
Mailing address
1010 COMMON ST, SUITE 2660, NEW ORLEANS, LA 70112-2401
(504) 962-3101
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
11694
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1165271
—
LA
05
—
1471275
—
LA
Enumeration date
03/14/2007
Last updated
08/22/2020
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