Lifetime Personal Care Home, LNC.
Organization Active NPI Community/Behavioral Health Agency · Auburn, GA
NPI 1235537499 · NPPES record last updated Dec 19, 2014
Key facts
- NPI
- 1235537499
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 067-R-0355 (GA)
- Legal business name
- LIFETIME PERSONAL CARE HOME, LNC.
- Practice address
- 40 Auburn Park Drive
Auburn, GA 30011 - Phone
- (678) 985-0456
- NPI assigned
- Dec 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Adedoyin Victoria Ayeni, ASSOCAITE
- Title
- Administrator
- Phone
- (678) 985-0456
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Lifetime Health Care Service LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 067-R-0355 | GA | Yes |
Addresses
Primary practice location
40 Auburn Park Drive
Auburn, GA 30011
Mailing address
40 Auburn Park Dr
Auburn, GA 30011-3643
Phone (678) 985-0456
Other providers in Auburn, GA
- Journey Therapy Connection Services, LLC
- Keayana Minus Mental Health Counseling, PLLC
- Jianwu Li
- Lifetime Health Care Service, LLC
- Lifetime Health Care Services, LLC
- Loving Care Assisted Living
- Stephanie Carolyn Lumsden
- Sarah Colegrove Masiewicz
- Jenna M McCully
- Medicine Wheel Clinic - Winder
All providers in Auburn, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.