Organization
LIFELINE HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRENE OSEI ADMINISTRATOR (ADMINISTRATOR)
(703) 543-7511
Entity
Organization
Contact information
Practice address
14701 LEE HWY, SUITE 206, CENTREVILLE, VA 20121
(703) 543-7511
Mailing address
14701 LEE HWY, SUITE 206, CENTREVILLE, VA 20121-2133
(703) 543-7511
(703) 543-7512
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
VA
3747P1801X
Personal Care Attendant
Primary
—
VA
385H00000X
Respite Care
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103784358
—
VA
Enumeration date
07/02/2007
Last updated
07/11/2007
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