Organization
LIFELINE RESPIRATORY SERVICES LLC
Active
Other names
Lifeline Respiratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA NICOLE GORDON RRT (OWNER)
(406) 836-0718
Entity
Organization
Contact information
Practice address
150 TOWBRIDGE RD, GEORGETOWN, SC 29440-6495
(406) 836-0718
Mailing address
150 TOWBRIDGE RD, GEORGETOWN, SC 29440-6495
(406) 836-0718
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
07/07/2021
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