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Organization
LIFE LINE HOME CARE INC
Active
Organization
LIFE LINE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE C DANIEL PHARMD (PRESIDENT)
(229) 382-1334
Entity
Organization
Contact information
Practice address
6443 ZEBULON RD STE 3D, MACON, GA 31220-7637
(478) 225-6412
(478) 225-9046
Mailing address
1610 MADISON AVE, TIFTON, GA 31794-3756
(229) 382-1334
(229) 382-1350
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
12/02/2020
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