Provider Demographics
NPI:1013183987
Name:LIFE-TIMESOLUTIONS
Entity Type:Organization
Organization Name:LIFE-TIMESOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:GRASSIA
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-325-6411
Mailing Address - Street 1:2510 MICCOSUKEE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308
Mailing Address - Country:US
Mailing Address - Phone:850-325-6411
Mailing Address - Fax:
Practice Address - Street 1:2510 MICCOSUKEE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5473
Practice Address - Country:US
Practice Address - Phone:850-325-6411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL47-8013678015-2332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies