Organization
LIFELINE INCOPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OUWAKEMI AGBOTO (HHA)
(301) 825-2189
Entity
Organization
Contact information
Practice address
4213 OGLETHORPE ST APT 4, HYATTSVILLE, MD 20781-1540
(240) 898-6687
Mailing address
4213 OGLETHORPE ST APT 4, HYATTSVILLE, MD 20781-1540
(240) 898-6687
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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