Organization
OPEN HEARTS LFELINE LLC
Active
Other names
ANDREA GRAHAM, ANDREA GRAHAM
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GRAHAM (OWNER)
(843) 939-0810
Entity
Organization
Contact information
Practice address
121 S ACLINE ST, LAKE CITY, SC 29560-2632
(843) 939-0810
Mailing address
121 S ACLINE ST, LAKE CITY, SC 29560-2632
(843) 939-0810
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1975
—
SC
Enumeration date
05/18/2022
Last updated
05/18/2022
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