Organization
LIFELINE HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KOGAN (EXECUTIVE DIRECTOR)
(888) 202-6052
Entity
Organization
Contact information
Practice address
1311 N FEDERAL HWY # 1, HOLLYWOOD, FL 33020-3631
(888) 202-6052
Mailing address
1311 N FEDERAL HWY # 1, HOLLYWOOD, FL 33020-3631
(888) 202-6052
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
12/14/2022
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