Organization
LIFELINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHODA MAKINDE (MANAGER)
(301) 927-7580
Entity
Organization
Contact information
Practice address
5632 ANNAPOLIS RD STE 9, BLADENSBURG, MD 20710-2213
(301) 927-7580
(301) 927-7583
Mailing address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 588-8036
(202) 588-8038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012805035
—
DC
05
—
036436500
—
DC
05
—
098040892
—
DC
Enumeration date
01/02/2008
Last updated
06/02/2020
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