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Organization
LIFELINE OF FAIRFIELD
Active
Organization
LIFELINE OF FAIRFIELD
Active
Other names
Fairfield county EMS
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE S. BROOM (OFFICE MANAGER)
(803) 633-2107
Entity
Organization
Contact information
Practice address
350 COLUMBIA RD, WINNSBORO, SC 29180
(803) 633-2107
(803) 635-6147
Mailing address
P O DRAWER 60, WINNSBORO, SC 29180-1732
(803) 633-2107
(803) 635-6147
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1346
—
SC
Enumeration date
06/28/2006
Last updated
08/22/2020
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