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Organization

LIFELINE INC DBA LIFELINE HOME HEALTH

Active
Other names
lifeline home health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JULIUS Y BAKARI MBA (PRESIDENT)
(202) 722-0404
Entity
Organization

Contact information

Practice address
6210 N CAPITOL ST NW, WASHINGTON, DC 20011-1416
(202) 722-0404
(202) 330-5605
Mailing address
353 HERITAGE PARK TRCE NW, KENNESAW, GA 30144-4832
(240) 350-7378
(202) 330-5605

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary

Other

Enumeration date
10/15/2012
Last updated
10/15/2012
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