MEDICARE: A LIFETIME & LOVE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251E00000X	Home Health Agency
4	251F00000X	Home Infusion Agency
5	251J00000X	Nursing Care Agency
6	315D00000X	Inpatient Hospice
7	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
8	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
9	324500000X	Substance Abuse Rehabilitation Facility
10	332B00000X	Durable Medical Equipment & Medical Supplies
11	343800000X	Secured Medical Transport (VAN)
12	385H00000X	Respite Care
13	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
14	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1740777010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A LIFETIME & LOVE INC

Provider Business Mailing Address
First Line	:	910 ATHENS HWY STE K312
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-4952
Country	:	US
Telephone Number	:	770-767-2617
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 ATHENS HWY STE K312
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-4952
Country	:	US
Telephone Number	:	770-767-2617
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. KYRIMA ANDERSON
Credential	:
Telephone Number	:	678-697-1567

Provider Enumeration Date	:	04/22/2018
Last Update Date	:	12/04/2019

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Directions to “A LIFETIME & LOVE INC ” Practice Location

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