Organization Name: | LIFETIME QUALITY CARE, LLC |
NPI Number: | 1336462118 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER B BUTLER (OWNER) |
Mailing Address: | 4 Medical Dr Elberton |
State: | GA US |
Postal Code: | 306351830 |
Phone Number: | 7062834690 |
Fax Number: | 7062834698 |
NPI Enumeration Date: | 03/08/2010 |
NPI Last Update Date: | 03/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |