Provider Demographics
NPI:1558952945
Name:LIVING MY LIFE HOME CARE SERVICES ,LLC
Entity Type:Organization
Organization Name:LIVING MY LIFE HOME CARE SERVICES ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SLOCUMB
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:478-256-0520
Mailing Address - Street 1:640 PLUM ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2859
Mailing Address - Country:US
Mailing Address - Phone:478-256-0520
Mailing Address - Fax:478-310-2121
Practice Address - Street 1:640 PLUM ST STE 205
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2859
Practice Address - Country:US
Practice Address - Phone:478-256-0520
Practice Address - Fax:478-310-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care