Organization
LIFELINE HOME SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAWAN ALTWAL (DIRECTOR)
(248) 521-4062
Entity
Organization
Contact information
Practice address
17310 LOUISE ST, SOUTHFIELD, MI 48075-3481
(248) 521-4062
Mailing address
17310 LOUISE ST, SOUTHFIELD, MI 48075-3481
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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