OrganizationActive
For Life Home Care LLC
NPI 1407619984 · In Home Supportive Care Agency · Lyons, GA
Provider details
- NPI number
- 1407619984
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jada Law, Register Nurse(912) 403-9810
Specialties & taxonomies
Agencies
Practice location
775 Five Point Rd
Lyons, GA 30436-3242
Phone: (912) 403-9810
Approximate (ZIP-level) locationGet directions
Mailing address
246 Robert C Daniel Jr Pkwy
Augusta, GA 30909-0803
Registry dates
- Enumerated
- 2024-02-06
- Last updated
- 2024-02-06
- Certified
- 2024-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.