# LIFELINE INC DBA LIFELINE HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** lifeline home health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962755991
- **Authorized official:** MR. JULIUS Y BAKARI MBA (PRESIDENT)
- **Authorized official phone:** (202) 722-0404

## Contact information

- **Practice address:** 6210 N CAPITOL ST NW, WASHINGTON, DC 20011-1416
- **Practice address phone:** (202) 722-0404
- **Practice address fax:** (202) 330-5605
- **Mailing address:** 353 HERITAGE PARK TRCE NW, KENNESAW, GA 30144-4832
- **Mailing address phone:** (240) 350-7378
- **Mailing address fax:** (202) 330-5605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 10/15/2012