Organization
LIFE-LINE HEALTH CARE
Active
Organization
LIFE-LINE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLL GORMAN (ADMINISTRATOR)
(985) 878-3848
Entity
Organization
Contact information
Practice address
53364 CYPRIAN RD., LORANGER, LA 70446
(985) 878-3848
(985) 878-1106
Mailing address
P.O. BOX 115, LORANGER, LA 70446
(985) 878-3848
(985) 878-1106
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
SIL 20189
LA
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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