| Lifetime Personal Care Home, Lnc. | |
|
40 Auburn Park Drive Auburn GA 30011 | |
| (678) 985-0456 | |
| Not Available |
| Full Name | Lifetime Personal Care Home, Lnc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40 Auburn Park Drive, Auburn, Georgia |
| Authorized Official Name and Position | Adedoyin Victoria Ayeni (ADMINISTRATOR) |
| Authorized Official Contact | 6789850456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Personal Care Home, Lnc. 40 Auburn Park Dr Auburn GA 30011-3643 Ph: (678) 985-0456 | Lifetime Personal Care Home, Lnc. 40 Auburn Park Drive Auburn GA 30011 Ph: (678) 985-0456 |
| NPI Number | 1235537499 |
|---|---|
| Provider Enumeration Date | 12/19/2014 |
| Last Update Date | 12/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235537499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 067-R-0355 (Georgia) | Primary |
Community Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1542 Oakleaf Dr, Auburn, GA 30011 Phone: 470-905-2549 Fax: 877-540-0067 | |
Community Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1542 Oakleaf Dr, Auburn, GA 30011 Phone: 470-905-2549 Fax: 877-540-0067 |