Organization · NPI-2

A Lifetime & Love INC

Community/Behavioral Health · Loganville, GA

NPI number1740777010
StatusActive
Last updated in NPPESDec 4, 2019

Details

NPI
1740777010
Entity type
Organization (NPI-2)
Legal business name
A Lifetime & Love INC
Organization subpart
No
Enumeration date
Apr 22, 2018
Last updated
Dec 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251B00000X Case Management––
251C00000X Day Training, Developmentally Disabled Services––
251E00000X Home Health––
251F00000X Home Infusion––
251J00000X Nursing Care––
315D00000X Hospice, Inpatient––
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––
324500000X Substance Abuse Rehabilitation Facility––
332B00000X Durable Medical Equipment & Medical Supplies––
343800000X Secured Medical Transport (VAN)––
385H00000X Respite Care––
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child––

Practice location

910 Athens Hwy Ste K312
Loganville, GA 30052-4952

Phone 770-767-2617

Mailing address

910 Athens Hwy Ste K312
Loganville, GA 30052-4952

Phone 770-767-2617

Authorized official

Kyrima Anderson
Ceo
6786971567

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