Provider Demographics
NPI:1053512863
Name:LIFETIME LEARNING, INC.
Entity Type:Organization
Organization Name:LIFETIME LEARNING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:S
Authorized Official - Last Name:COMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-464-3348
Mailing Address - Street 1:581 HIGHWAY 498
Mailing Address - Street 2:
Mailing Address - City:BEATTYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41311-9012
Mailing Address - Country:US
Mailing Address - Phone:606-464-3348
Mailing Address - Fax:606-464-3348
Practice Address - Street 1:581 HIGHWAY 498
Practice Address - Street 2:
Practice Address - City:BEATTYVILLE
Practice Address - State:KY
Practice Address - Zip Code:41311-9012
Practice Address - Country:US
Practice Address - Phone:606-464-3348
Practice Address - Fax:606-464-3348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY458OtherFIRST STEPS