Lifeline Community Support, LLC
NPI #1619580669 in North Bay Village, Florida
Provider Information
- NPI Number
- 1619580669
- Entity Type
- Organization
- Organization Name
- Lifeline Community Support, LLC
- Primary Specialty
- Case Management
- Enumeration Date
- Aug 28, 2020
- Last Updated
- Aug 18, 2021
Practice Location
- Address
- 1666 79TH STREET CSWY STE 603
- State
- Florida
- ZIP Code
- 33141-4190
- Phone
- (178) 651-8893
Authorized Official
- Name
- MR. SERGIO ALEJANDRO VILLATORO, BHCM
- Title
- PRESIDENT
- Phone
- (786) 518-8931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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