Organization
LIFELINE INCOPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY ADESANOYE (HHA)
(202) 412-8604
Entity
Organization
Contact information
Practice address
502 VARNUM STREET, BLADENSBURG, MD 20710
(202) 412-8604
Mailing address
502 VARNUM STREET, BLADENSBURG, MD 20710
(202) 412-8604
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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