# LIFELINE HOMECARE OF SALEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifeline Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023326436
- **Authorized official:** PETER C NOVEMBER II (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 503 E MAIN ST, SALEM, KY 42078-8033
- **Practice address phone:** (270) 988-0133
- **Practice address fax:** (270) 988-0139
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 233-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 11/17/2011