Organization
LIFELINE INCOPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ABORISADE (HHA)
(301) 577-3395
Entity
Organization
Contact information
Practice address
4203 58TH AVE, BLADENSBURG, MD 20710-1911
(301) 866-4115
Mailing address
4203 58TH AVE, BLADENSBURG, MD 20710
(301) 866-4115
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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