Organization
LIFETIME PCS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA 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
311ZA0620X
Adult Care Home Facility
Primary
PCA 11694
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447200753
—
LA
05
—
1669505798
—
LA
05
—
1811200595
—
LA
Enumeration date
10/19/2011
Last updated
10/19/2011
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