| Organization Name: | LIFE AT HOME, LLC |
| NPI Number: | 1619197886 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAISY W HOLMES (EXECUTIVE DIRECTOR) |
| Mailing Address: | 736 N Pine St Deridder |
| State: | LA US |
| Postal Code: | 706342812 |
| Phone Number: | 3374633595 |
| Fax Number: | 3374633595 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 03/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 12352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |