NPI 1023249778
Lifetime Health Care Services INC
Practice location
- Address
- 2361 Williams Dr, Burnsville, MN 55337-1984
- Phone
- (614) 679-1113
- Fax
- (614) 754-6635
Authorised official
- Name
- Ahmed D Mohamed
- Title
- Ceo
- Phone
- (614) 679-1113
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023249778
- Entity type
- Organization
- NPI issued
- 29 Jul 2009
- Record last updated
- 29 Jul 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.