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Organization
LIFELINK PROFESSIONALS AND THERAPY SERVICES, LLC
Active
Organization
LIFELINK PROFESSIONALS AND THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CRISELDA DE LUNA RN, BSN (PRESIDENT)
(586) 722-7000
Entity
Organization
Contact information
Practice address
31201 CHICAGO RD S, SUITE B-301, WARREN, MI 48093-5527
(586) 722-7000
(586) 558-9113
Mailing address
31201 CHICAGO RD S, SUITE B-301, WARREN, MI 48093-5527
(586) 722-7000
(586) 558-9113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704179787
MI
225100000X
Physical Therapist
Primary
5501006363
MI
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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