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Organization

A LIFETIME & LOVE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KYRIMA ANDERSON (CEO)
(678) 697-1567
Entity
Organization

Contact information

Practice address
910 ATHENS HWY STE K312, LOGANVILLE, GA 30052-4952
(770) 767-2617
Mailing address
910 ATHENS HWY STE K312, LOGANVILLE, GA 30052-4952
(770) 767-2617

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251F00000X
Home Infusion Agency
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
Primary
315D00000X
Inpatient Hospice
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
324500000X
Substance Abuse Rehabilitation Facility
332B00000X
Durable Medical Equipment & Medical Supplies
343800000X
Secured Medical Transport (VAN)
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
04/22/2018
Last updated
12/04/2019
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