Organization
LIFETIME MOBILITY PRODUCTS
Active
Parent organization
LIFETIME CARE AT HOME LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME CARE AT HOME LLC
Authorized official
MR. MICHAEL FERDINAND BAUER (OWNER/PRESIDENT)
(612) 636-0751
Entity
Organization
Contact information
Practice address
W7652 2090TH AVE, HAGER CITY, WI 54014
(612) 636-0751
Mailing address
4606 TAMIE AVE, EAGAN, MN 55123-2136
(612) 636-0751
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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