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Organization
LIFELINE HOME HEALTH LLC
Active
Organization
LIFELINE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BIJU KURIAKOSE (FACILITY ADMINISTRATOR)
(972) 859-9996
Entity
Organization
Contact information
Practice address
4125 FAIRWAY DR STE 135, CARROLLTON, TX 75010-6510
(972) 859-9996
Mailing address
2517 SCOTTI ST, LEWISVILLE, TX 75056-5882
(972) 859-9996
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
05/31/2019
Last updated
04/14/2020
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