Organization
LIFELINE BY B&V LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA SHAMIREA GILDERSLEEVE (CO-OWNER)
(251) 604-5416
Entity
Organization
Contact information
Practice address
1228 CARMICHAEL WAY, MONTGOMERY, AL 36106-3671
(334) 544-0123
Mailing address
1228 CARMICHAEL WAY, MONTGOMERY, AL 36106-3671
(334) 544-0123
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/13/2018
Last updated
09/08/2021
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