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Organization
LIFELINE INC DBA LIFELINE HOME HEALTH
Active
Organization
LIFELINE INC DBA LIFELINE HOME HEALTH
Active
Other names
lifeline home health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIUS Y BAKARI MBA (PRESIDENT)
(202) 722-0404
Entity
Organization
Contact information
Practice address
6210 N CAPITOL ST NW, WASHINGTON, DC 20011-1416
(202) 722-0404
(202) 330-5605
Mailing address
353 HERITAGE PARK TRCE NW, KENNESAW, GA 30144-4832
(240) 350-7378
(202) 330-5605
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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