# LIFELINE RGV LLC

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

## Provider details

- **NPI number:** 1366779035
- **Authorized official:** MRS. NEYDA G. BONILLA (MANAGER)
- **Authorized official phone:** (956) 683-8181

## Contact information

- **Practice address:** 4601 BUDDY OWENS AVE, MCALLEN, TX 78504-4827
- **Practice address phone:** (956) 683-8181
- **Practice address fax:** (956) 683-8191
- **Mailing address:** 4601 BUDDY OWENS AVE, MCALLEN, TX 78504-4827
- **Mailing address phone:** (956) 683-8181
- **Mailing address fax:** (956) 683-8191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1000355 | TX | Yes |

## Other

- **Enumeration date:** 11/17/2009
- **Last updated:** 06/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 210568601 | — | TX |