Organization
LIFE LINE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE C DANIEL PHARMD (PRESIDENT)
(229) 382-1334
Entity
Organization
Contact information
Practice address
6409 ABERCORN ST, SUITE F, SAVANNAH, GA 31405-5715
(912) 777-6635
(912) 777-6654
Mailing address
1610 MADISON AVE, TIFTON, GA 31794-3756
(912) 777-6635
(912) 777-6654
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
GBU20140244
GA
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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