Organization
LIFE HOME, LLC
Active
Parent organization
LIFE @ HOME, LLC
Other names
Life @ Home, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE @ HOME, LLC
Authorized official
MRS. DAISY HOLMES RN (MANAGING MEMBER)
(337) 463-3595
Entity
Organization
Contact information
Practice address
515A WASHINGTON AVE, MANSFIELD, LA 71052-3105
(337) 871-8112
(337) 871-9013
Mailing address
515A WASHINGTON AVE, MANSFIELD, LA 71052-3105
(337) 871-8112
(337) 871-9013
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
10567
LA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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