Life Line Home Care INC
NPI #1578630190 in Jacksonville, Florida
Provider Information
- NPI Number
- 1578630190
- Entity Type
- Organization
- Organization Name
- Life Line Home Care INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Sep 10, 2012
Practice Location
- Address
- 3740 SAINT JOHNS BLUFF RD S
- Address 2
- SUITE 1
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32224-2651
- Phone
- (904) 730-2202
Authorized Official
- Name
- MR. RONNIE C DANIEL, PHARMD
- Title
- PRESIDENT
- Phone
- (229) 382-1334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Home Infusion Therapy Pharmacy — Home Infusion Therapy Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
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