Organization
LIFE TIME HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY KELLY LEE (DIRECTOR)
(678) 523-8082
Entity
Organization
Contact information
Practice address
577 PINE VALLEY DR, POWDER SPRINGS, GA 30127-6629
(678) 523-8082
Mailing address
577 PINE VALLEY DR, POWDER SPRINGS, GA 30127-6629
(678) 523-8082
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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