Provider Demographics
NPI:1093188732
Name:NULIFE SENIOR CARE LLC
Entity Type:Organization
Organization Name:NULIFE SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-635-7979
Mailing Address - Street 1:707 WHITLOCK AVE SW STE A40
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-4654
Mailing Address - Country:US
Mailing Address - Phone:770-635-7979
Mailing Address - Fax:770-635-7979
Practice Address - Street 1:707 WHITLOCK AVE SW STE A40
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-4654
Practice Address - Country:US
Practice Address - Phone:770-635-7979
Practice Address - Fax:770-635-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health