# LIFELINE MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1245974542
- **Authorized official:** MS. STELLA PLISHTIYEVA (PRESIDENT)
- **Authorized official phone:** (954) 531-1924

## Contact information

- **Practice address:** 1202 E HILLSBORO BLVD STE 2, DEERFIELD BEACH, FL 33441-4201
- **Practice address phone:** (954) 531-1924
- **Practice address fax:** (754) 227-7596
- **Mailing address:** 1202 E HILLSBORO BLVD STE 2, DEERFIELD BEACH, FL 33441-4201
- **Mailing address phone:** (954) 531-1924
- **Mailing address fax:** (754) 227-7596

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2022
- **Last updated:** 04/22/2022