# LIFELINE SCOOTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013062116
- **Authorized official:** VIRGIL G WILLIAMS (OWNER)
- **Authorized official phone:** (903) 839-5311

## Contact information

- **Practice address:** 508-D HWY 110 N., WHITEHOUSE, TX 75791
- **Practice address phone:** (903) 839-5311
- **Mailing address:** 508-D HWY 110 N., WHITEHOUSE, TX 75791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 06/13/2008