Lifetime Healthcare Incorporated

NPI #1871885517 in Mobile, Alabama

Provider Information

NPI Number: 1871885517
Entity Type: Organization
Organization Name: Lifetime Healthcare Incorporated
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 13, 2011
Last Updated: May 13, 2011

Practice Location

Address: 2201 ROBINSON DR
City: Mobile
State: Alabama
ZIP Code: 36605-5137
Phone: (251) 648-4893

Authorized Official

Name: JOHN MALONE SMITH
Title: PRESIDENT
Phone: (251) 648-4893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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