Organization
LIFE CARE HOME HEALTH SERVICES LLC
Active
Other names
Health at Home
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY COHEN (GENERAL COUNSEL)
(706) 854-7428
Entity
Organization
Contact information
Practice address
8101 MISSION RD, PRAIRIE VILLAGE, KS 66208-5245
(913) 385-4110
Mailing address
PO BOX 200, AUGUSTA, GA 30903-0200
(706) 854-7428
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
A046244
KS
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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