Healthcare Provider Details
I. General information
NPI: 1023148004
Provider Name (Legal Business Name): LIFETIME FINANCIAL MANAGEMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2007
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
235 LONSDALE AVE
PAWTUCKET RI
02860-2717
US
IV. Provider business mailing address
PO BOX 1468
PAWTUCKET RI
02862-1468
US
V. Phone/Fax
- Phone: 401-333-3333
- Fax:
- Phone: 401-333-3333
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251300000X |
| Taxonomy | Local Education Agency (LEA) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
LOUIS
PETER
PAOLINO
Title or Position: PRESIDENT
Credential:
Phone: 401-333-3333