# LIFELINE HEALTHCARE SERVICES INC

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

## Provider details

- **NPI number:** 1538387212
- **Authorized official:** DR. ALFREDO SANCHEZ-FORTIS MD (OWNER)
- **Authorized official phone:** (305) 756-4400

## Contact information

- **Practice address:** 4960 SW 52ND ST, \# 407-408, DAVIE, FL 33314-5530
- **Practice address phone:** (305) 756-8100
- **Practice address fax:** (786) 621-4889
- **Mailing address:** 9999 NE 2ND AVE, SUITE 116, MIAMI SHORES, FL 33138-2352
- **Mailing address phone:** (305) 756-8100
- **Mailing address fax:** (786) 621-4889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | HME651 | FL | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 03/12/2010