Life Line Home Care Inc in Tifton - Parenteral & Enteral Nutrition
Life Line Home Care Inc - NPI 1578630190
Life Line Home Care Inc is a Parenteral & Enteral Nutrition in Tifton, Georgia. Life Line Home Care Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Life Line Home Care Inc is 1578630190. The last update date is 2012-09-10.
Life Line Home Care Inc's current location address is 1610 Madison Ave, Tifton, Georgia. You can contact this provider via phone number 9047302202 and fax number 9047302212. The mailing address for Life Line Home Care Inc is 1610 Madison Ave, Tifton, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Life Line Home Care Inc |
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Address | 1610 Madison Ave, Tifton, Georgia |
Phone Number | 9047302202 |
Fax Number | 9047302212 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Daniel C Ronnie |
Credentials | PHARMD |
Telephone Number | 2293821334 |
NPI Number Detail
NPI Number | 1578630190 |
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Provider Enumeration Date | 2006-11-29 |
Last Updated Date | 2012-09-10 |
Provider Mailing Address Detail
Address | 1610 Madison Ave |
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City | Tifton |
State | Georgia (GA) |
Post Code | 317943756 |
Phone Number | 9047302202 |
Fax Number | 9047302212 |
Provider's Primary Taxonomy Detail
Speciality | Parenteral & Enteral Nutrition |
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Taxonomy | 332Bp3500X |
Licence No | 1312767 |
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
942290002 | FL | MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Life Line Home Care Inc by the Centers for Medicare & Medicaid Services?
The Life Line Home Care Inc has been issued the NPI (National Provider Identifier) 1578630190. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Life Line Home Care Inc?
The Life Line Home Care Inc is physically situated at 1610 Madison Ave, in the city of Tifton, state of GA, with the postal code 317943756.
What is the Life Line Home Care Inc's area of specialization and corresponding taxonomy classification?
The Life Line Home Care Inc's specialty field is Parenteral & Enteral Nutrition, and it falls under the taxonomy code 332Bp3500X, which categorizes healthcare providers based on their specialties.
On what date was the 1578630190 assigned to Life Line Home Care Inc?
The Life Line Home Care Inc was issued its 1578630190 on 2006-11-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Life Line Home Care Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Life Line Home Care Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-10.