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Organization
LIFELINE HEALTH CARE OF SOUTHWEST FLORIDA, INC.
Active
Organization
LIFELINE HEALTH CARE OF SOUTHWEST FLORIDA, INC.
Active
Other names
Lifeline Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES T. WILSON (CEO)
(606) 679-4100
Entity
Organization
Contact information
Practice address
630A WOODBURY DR, PORT CHARLOTTE, FL 33954-1000
(941) 766-9544
(941) 766-9744
Mailing address
600 CLIFTY ST, SOMERSET, KY 42503-1733
(606) 679-4100
(606) 678-7306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20649096
FL
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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