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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFETIME POTENTIALS, INC.

Active Organization

LIFETIME POTENTIALS, INC. is a Behavioral Health, Residential organization located in JACKSON, Kentucky. NPI 1710012000 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · JACKSON, KY

Registration Details

NPI Number
1710012000
Provider Type
Organization
NPI Issued
Feb 23, 2007 (19.51515406953 yrs)
Last Updated
Oct 11, 2017
License
007700784 (KY)

Practice Information

Address
43 LJ LANE
JACKSON, KY, 41339
Browse KY providers · Browse ZIP 41339
Phone
6066930994
Fax
6066930959
Primary Specialty
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.