# LIFELINE HEALTHCARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1538567904
- **Authorized official:** MR. MURRAY IYKE OBANYE (PRESIDENT/ADMINISTRATOR)
- **Authorized official phone:** (443) 255-7893

## Contact information

- **Practice address:** 3504 SEAPINES CIR, RANDALLSTOWN, MD 21133-2445
- **Practice address phone:** (410) 929-9980
- **Mailing address:** 3504 SEAPINES CIR, RANDALLSTOWN, MD 21133-2445
- **Mailing address phone:** (410) 929-9980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2014
- **Last updated:** 12/16/2014