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Organization

LIFE LINE HOME CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONNIE C DANIEL PHARMD (PRESIDENT)
(229) 382-1334
Entity
Organization

Contact information

Practice address
2250 N DRUID HILLS RD NE STE 133, ATLANTA, GA 30329-3118
(404) 876-1503
(404) 876-1505
Mailing address
1610 MADISON AVE, TIFTON, GA 31794-3756
(229) 382-1334
(229) 382-1350

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Enumeration date
02/14/2012
Last updated
02/20/2026
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