Organization
LIFE LINE SUPPLY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK NICHOLSON (PRESIDENT)
(214) 522-4351
Entity
Organization
Contact information
Practice address
1545 W MOCKINGBIRD LN, STE 1020, DALLAS, TX 75235-5014
(214) 522-4351
(866) 332-9151
Mailing address
1545 W MOCKINGBIRD LN, STE 1020, DALLAS, TX 75235-5014
(214) 522-4351
(866) 332-9151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000407
TX
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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