Organization
LIFELINE MED SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTIA BEAN (OWNER)
(443) 793-8485
Entity
Organization
Contact information
Practice address
920 E 25TH ST UNIT 1, BALTIMORE, MD 21218-5503
(443) 793-8485
Mailing address
920 E 25TH ST, BALTIMORE, MD 21218-5503
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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