Healthcare Provider Details

I. General information

NPI: 1992629042
Provider Name (Legal Business Name): LIFETIME LIVING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3377 PARK POINTE CIR
SCOTTDALE GA
30079-5602
US

IV. Provider business mailing address

3377 PARK POINTE CIR
SCOTTDALE GA
30079-5602
US

V. Phone/Fax

Practice location:
  • Phone: 678-641-2757
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JARRETT WILSON
Title or Position: CEO
Credential:
Phone: 678-641-2757