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LOL-LIFE OF LIBERTY ADULT DAY PROGRAM, LLC
NPI 1306411525
Day Training, Developmentally Disabled Services in Moultrie, GA

Active since May 20, 2021
2516 5TH AVE SE, MOULTRIE, GA 31788(229) 217-0565(760) 433-5414 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lol-life Of Liberty Adult Day Program, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOL-LIFE OF LIBERTY ADULT DAY PROGRAM, LLC (NPI 1306411525) is a healthcare organization registered as a day training, developmentally disabled services in Moultrie, Georgia and active in the NPI registry since May 2021. The organization lists Debra Howard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306411525
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameLOL-LIFE OF LIBERTY ADULT DAY PROGRAM, LLC
Location Address2516 5TH AVE SEMoultrie, GA 31788-6207
Mailing AddressPo Box 5636Oceanside, CA 92052-5636 · (760) 433-5411
Phone(229) 217-0565
Fax(760) 433-5414
Organization SubpartNo
Authorized OfficialDebra HowardCeo · (760) 433-5411
Enumeration DateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1306411525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
2516 5TH AVE SE, Moultrie, GA 31788
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLQUITT REGIONAL MEDICAL CENTER
Hospice Care, Community Based
2516 5TH AVE SE
MOULTRIE, GA 31788
Colquitt County (229) 985-3420
COLQUITT REGIONAL HEALTH INCORPORATED
Home Health
2516 5TH AVE SE
MOULTRIE, GA 31788
Colquitt County (229) 891-2128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lol-Life Of Liberty Adult Day Program, LLC's NPI number?

The NPI number for Lol-Life Of Liberty Adult Day Program, LLC is 1306411525. It was assigned to this organization in the NPPES registry on May 20, 2021.

Where is Lol-Life Of Liberty Adult Day Program, LLC located?

Lol-Life Of Liberty Adult Day Program, LLC is located at 2516 5th Ave SE, Moultrie, GA 31788. The listed phone number is (229) 217-0565.

What is Lol-Life Of Liberty Adult Day Program, LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Lol-Life Of Liberty Adult Day Program, LLC was last updated on May 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.