Lifeline Incoporation
NPI #1750750733 in Hyattsville, Maryland
Provider Information
- NPI Number
- 1750750733
- Entity Type
- Organization
- Organization Name
- Lifeline Incoporation
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Sep 18, 2015
- Last Updated
- Sep 18, 2015
Practice Location
- Address
- 4213 OGLETHORPE ST APT 4
- City
- Hyattsville
- State
- Maryland
- ZIP Code
- 20781-1540
- Phone
- (240) 898-6687
Authorized Official
- Name
- OUWAKEMI AGBOTO
- Title
- HHA
- Phone
- (301) 825-2189
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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