Lifetime Health Care Service, LLC

NPI #1528329844 in Auburn, Georgia

Provider Information

NPI Number
1528329844
Entity Type
Organization
Organization Name
Lifetime Health Care Service, LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jun 4, 2012
Last Updated
Jun 4, 2012

Practice Location

Address
40 AUBURN PARK DR
City
Auburn
State
Georgia
ZIP Code
30011-3643
Phone
(678) 985-0456

Authorized Official

Name
MS. ADEDOYIN VICTORIA AYENI
Title
ADMINISTATOR
Phone
(678) 985-0456

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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