# LIFELINE SENIOR SERVICES

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

## Provider details

- **NPI number:** 1144407578
- **Authorized official:** MRS. ANGELA CHERYL WILLIAMS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (803) 774-7414

## Contact information

- **Practice address:** 214 W LIBERTY ST STE 2, SUMTER, SC 29150-5181
- **Practice address phone:** (803) 774-7414
- **Practice address fax:** (803) 774-6325
- **Mailing address:** PO BOX 3792, SUMTER, SC 29151-3792
- **Mailing address phone:** (803) 774-7414
- **Mailing address fax:** (803) 774-6325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 03/25/2010
