Organization
LIFELINE INCOPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHEU SHIENJI (HHA)
(301) 776-8456
Entity
Organization
Contact information
Practice address
6823D RIVERDALE RD APT D1, RIVERDALE, MD 20737-1835
(301) 898-7756
Mailing address
6823D RIVERDALE RD APT D1, RIVERDALE, MD 20737-1835
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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