Organization
NORTHERN LIFELINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B. JAMES (CEO)
(336) 719-7101
Entity
Organization
Contact information
Practice address
1401 BOGGS DR, MOUNT AIRY, NC 27030-2147
(336) 719-7580
Mailing address
1401 BOGGS DR, MOUNT AIRY, NC 27030-2147
(336) 719-7580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408367
—
NC
Enumeration date
12/12/2006
Last updated
08/22/2020
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