Life Lines Residential Services

NPI #1558885707 in Forest, Virginia

Provider Information

NPI Number: 1558885707
Entity Type: Organization
Organization Name: Life Lines Residential Services
Primary Specialty: Private Vehicle
Enumeration Date: Jul 31, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 300 CASALOMA DR
City: Forest
State: Virginia
ZIP Code: 24551-1704
Phone: (434) 444-1540

Authorized Official

Name: MARIE WARD
Title: OWNER
Phone: (434) 444-1540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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