Organization
LIFE TIME PERSONAL CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA DELAINE THRASH (ADMINISTRATOR)
(504) 962-3101
Entity
Organization
Contact information
Practice address
1010 COMMON ST, SUITE 2660, NEW ORLEANS, LA 70112-2401
(504) 962-3101
(504) 962-3102
Mailing address
1010 COMMON ST, SUITE 2660, NEW ORLEANS, LA 70112-2401
(504) 962-3101
(504) 962-3102
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
11694
LA
3747A0650X
Attendant Care Provider
11694
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1887552
—
LA
05
—
1887714
—
LA
Enumeration date
07/22/2010
Last updated
07/22/2010
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