MEDICARE: TRUE LIFE HOME CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	044R1411	GA

General Provider Information

NPI Number	:	1063883031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE LIFE HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	360 W BENSON ST
Second Line	:	7
City	:	DECATUR
State	:	GA
Zip	:	30030-4330
Country	:	US
Telephone Number	:	404-433-3781
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 W BENSON ST
Second Line	:	7
City	:	DECATUR
State	:	GA
Zip	:	30030-4330
Country	:	US
Telephone Number	:	404-433-3781
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VICTOR HARRIS
Credential	:
Telephone Number	:	404-433-3781

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	10/15/2015

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Directions to “TRUE LIFE HOME CARE SERVICES LLC ” Practice Location

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