# LIFE BRIDGE HOME HEALTH

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

## Provider details

- **NPI number:** 1831476456
- **Authorized official:** MR. MICHAEL DAVID RAWLS (CEO)
- **Authorized official phone:** (443) 622-4991

## Contact information

- **Practice address:** 8830 ORCHARD TREE LN, TOWSON, MD 21286-2143
- **Practice address phone:** (443) 622-4991
- **Practice address fax:** (410) 435-4633
- **Mailing address:** 1302 AIRLIE WAY, SUITE L, BALTIMORE, MD 21239-1049
- **Mailing address phone:** (443) 622-4991
- **Mailing address fax:** (410) 435-4633

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2011
- **Last updated:** 11/10/2011
