Organization
LIFELINE HOMECARE OF SALEM LLC
Active
Other names
Lifeline Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
PETER C NOVEMBER II (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
503 E MAIN ST, SALEM, KY 42078-8033
(270) 988-0133
(270) 988-0139
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
09/20/2010
Last updated
11/17/2011
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