Lifeline Incoporation

NPI #1104295187 in Riverdale, Maryland

Provider Information

NPI Number
1104295187
Entity Type
Organization
Organization Name
Lifeline Incoporation
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Sep 18, 2015
Last Updated
Sep 18, 2015

Practice Location

Address
6823D RIVERDALE RD APT D1
ZIP Code
20737-1835
Phone
(301) 898-7756

Authorized Official

Name
NICHEU SHIENJI
Title
HHA
Phone
(301) 776-8456

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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