# LIFELINE URGENT CARE LLC

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

## Provider details

- **NPI number:** 1952853285
- **Authorized official:** DR. REBECCA M VARGHESE M.D. (MEMBER)
- **Authorized official phone:** (201) 775-1153

## Contact information

- **Practice address:** 8 E GRAND AVE, SUITE 1, MONTVALE, NJ 07645-2536
- **Practice address phone:** (201) 775-1153
- **Mailing address:** 8 E GRAND AVE, SUITE 1, MONTVALE, NJ 07645-2536
- **Mailing address phone:** (201) 775-1153

## Taxonomy

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

## Other

- **Enumeration date:** 11/03/2016
- **Last updated:** 11/03/2016