Life Line Community Healthcare New Jersey, LLC
NPI #1093118853 in Independence, Ohio
Provider Information
- NPI Number
- 1093118853
- Entity Type
- Organization
- Organization Name
- Life Line Community Healthcare New Jersey, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 7, 2014
- Last Updated
- Dec 5, 2025
Practice Location
- Address
- 6111 OAK TREE BLVD STE 301
- City
- Independence
- State
- Ohio
- ZIP Code
- 44131-2585
- Phone
- (216) 581-6556
Authorized Official
- Name
- ANDREW MANGANARO, MD
- Title
- MEMBER
- Phone
- (866) 964-3290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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