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Organization
LIFELINE HOME HEALTH CARE OF RUSSELLVILLE, LLC
Active
Organization
LIFELINE HOME HEALTH CARE OF RUSSELLVILLE, LLC
Active
Other names
Lifeline Health Care of Logan
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1527 NASHVILLE ST, RUSSELLVILLE, KY 42276-8851
(270) 726-2408
(270) 726-7213
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
07/10/2006
Last updated
03/05/2014
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