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Organization

LIFELINE CONNECTIONS

Active
Parent organization
LIFELINE CONNECTIONS
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFELINE CONNECTIONS
Authorized official
KINH REYNOLDS (CFO)
(360) 397-8246
Entity
Organization

Contact information

Practice address
311 S I ST, ABERDEEN, WA 98520-6615
(360) 787-9319
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
(360) 397-8246
(360) 397-8250

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1990126
WA
Enumeration date
01/07/2020
Last updated
03/01/2023
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