Provider Demographics
NPI:1710570627
Name:TREASURED LIFE CAREGIVERS LLC
Entity Type:Organization
Organization Name:TREASURED LIFE CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-312-3032
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:COOSADA
Mailing Address - State:AL
Mailing Address - Zip Code:36020-0294
Mailing Address - Country:US
Mailing Address - Phone:334-312-3032
Mailing Address - Fax:
Practice Address - Street 1:7590 COOSADA ROAD
Practice Address - Street 2:
Practice Address - City:COOSADA
Practice Address - State:AL
Practice Address - Zip Code:36020
Practice Address - Country:US
Practice Address - Phone:334-312-3032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty