Provider Demographics
NPI:1790387108
Name:LYFECYCLE SOLUTIONS INCORPORATED
Entity Type:Organization
Organization Name:LYFECYCLE SOLUTIONS INCORPORATED
Other - Org Name:LYFECYCLE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-799-2666
Mailing Address - Street 1:7755 22 MILE RD
Mailing Address - Street 2:#182445
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48318
Mailing Address - Country:US
Mailing Address - Phone:586-799-2666
Mailing Address - Fax:
Practice Address - Street 1:46828 HOUGHTON DR
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-5264
Practice Address - Country:US
Practice Address - Phone:248-872-9376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care