Organization
LIFETIME HEALTHCARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MALONE SMITH (PRESIDENT)
(251) 648-4893
Entity
Organization
Contact information
Practice address
2201 ROBINSON DR, MOBILE, AL 36605-5137
(251) 648-4893
(251) 473-9868
Mailing address
2201 ROBINSON DR, MOBILE, AL 36605-5137
(251) 648-4893
(251) 473-9868
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
AL
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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