Lifeline Incoporation

NPI #1689047409 in Bladensburg, Maryland

Provider Information

NPI Number
1689047409
Entity Type
Organization
Organization Name
Lifeline Incoporation
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Nov 2, 2015
Last Updated
Nov 2, 2015

Practice Location

Address
502 VARNUM STREET
ZIP Code
20710
Phone
(202) 412-8604

Authorized Official

Name
MARCY ADESANOYE
Title
HHA
Phone
(202) 412-8604

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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