# LIFELINE HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1811548381
- **Authorized official:** CHRISTI VICK RN,MSN,APRN,CNP (OWNER/OPERATOR)
- **Authorized official phone:** (405) 747-4835

## Contact information

- **Practice address:** 704 AZALEA HILL DR, YUKON, OK 73099-6504
- **Practice address phone:** (405) 747-4835
- **Practice address fax:** (405) 467-4417
- **Mailing address:** 704 AZALEA HILL DR, YUKON, OK 73099-6504
- **Mailing address phone:** (405) 747-4835
- **Mailing address fax:** (405) 467-4417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2019
- **Last updated:** 12/24/2019