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Organization

LIFELINE, INC

Active
Parent organization
LIFELINE, INC
Other names
LIFELINE, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFELINE, INC
Authorized official
RHODA MAKINDE (DIRECTOR)
(202) 588-8036
Entity
Organization

Contact information

Practice address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 588-8036
(202) 588-8038
Mailing address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(240) 386-7621

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
261QD1600X
Developmental Disabilities Clinic/Center
385H00000X
Respite Care

Other

Enumeration date
05/10/2021
Last updated
05/10/2021
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