Organization
LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY LLC
Active
Other names
Life Line Community Healthcare-NJ
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MANGANARO MD (SOLE OWNER)
(216) 581-6556
Entity
Organization
Contact information
Practice address
6150 OAK TREE BLVD STE 200, INDEPENDENCE, OH 44131-2569
(216) 581-6556
(216) 581-9611
Mailing address
6150 OAK TREE BLVD STE 200, INDEPENDENCE, OH 44131-2569
(216) 581-6556
(216) 581-9611
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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