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Organization

FAMILY LIFELINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY STRITE (PRESIDENT AND CEO)
(804) 249-5400
Entity
Organization

Contact information

Practice address
2325 W BROAD ST, RICHMOND, VA 23220-2009
(804) 249-5400
(804) 285-3701
Mailing address
2325 W BROAD ST, RICHMOND, VA 23220-2009
(804) 249-5400
(804) 285-3701

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCO15744
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0087000870
VA
05
0087717317
VA
Enumeration date
04/16/2015
Last updated
04/16/2015
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