Organization
LIFELINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHODA ELOHO ODIVBRI (PROGRAM CO-ORDINATOR)
(240) 386-7621
Entity
Organization
Contact information
Practice address
11 SALEM ST STE 15, MEDFORD, MA 02155-3262
(240) 386-7621
Mailing address
11 SALEM ST STE 15, MEDFORD, MA 02155-3262
(240) 386-7621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MA
Other
Enumeration date
07/27/2011
Last updated
07/21/2022
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