Organization
LIFE LINE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J DANIEL RRT (COO)
(229) 382-1334
Entity
Organization
Contact information
Practice address
3201 SW 42ND ST STE 2, GAINESVILLE, FL 32608-2441
(352) 772-2007
(352) 772-2005
Mailing address
1610 MADISON AVE, TIFTON, GA 31794-3756
(229) 382-1334
(229) 382-1350
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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