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
- City
- Bladensburg
- State
- Maryland
- 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 Home — Adult Care Home |
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| Lifeline Incoporation | |
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