Organization
LIFELINE SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA CHERYL WILLIAMS (EXECUTIVE DIRECTOR)
(803) 774-7414
Entity
Organization
Contact information
Practice address
214 W LIBERTY ST STE 2, SUMTER, SC 29150-5181
(803) 774-7414
(803) 774-6325
Mailing address
PO BOX 3792, SUMTER, SC 29151-3792
(803) 774-7414
(803) 774-6325
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/28/2008
Last updated
03/25/2010
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