Life Line Community Healthcare New Jersey LLC
NPI #1598184616 in Independence, Ohio
Provider Information
- NPI Number
- 1598184616
- Entity Type
- Organization
- Organization Name
- Life Line Community Healthcare New Jersey LLC
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Apr 16, 2014
- Last Updated
- Apr 16, 2014
Practice Location
- Address
- 6150 OAK TREE BLVD STE 200
- City
- Independence
- State
- Ohio
- ZIP Code
- 44131-2569
- Phone
- (216) 581-6556
Authorized Official
- Name
- DR. ANDREW MANGANARO, MD
- Title
- SOLE OWNER
- Phone
- (216) 581-6556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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