Organization
LIFETIME QUALITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PA KOU CHEE THAOU (OWNER)
(920) 287-2207
Entity
Organization
Contact information
Practice address
2258 CALUMET DR, SHEBOYGAN, WI 53083-4604
(920) 287-2207
Mailing address
2258 CALUMET DR, SHEBOYGAN, WI 53083-4604
(920) 287-2207
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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