Organization
LIFELINE HOME MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY HILL (PRESIDENT)
(662) 449-0045
Entity
Organization
Contact information
Practice address
3030 WINDERMERE RD N, NESBIT, MS 38651-9579
(662) 449-0045
Mailing address
3030 WINDERMERE RD N, NESBIT, MS 38651-9579
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
08/22/2020
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