| Organization Name: | LIFELINE CENTERS PC |
| NPI Number: | 1184865396 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAYNA L SHIPLEY (BILLING) |
| Mailing Address: | 600 N Penn St Connellsville |
| State: | PA US |
| Postal Code: | 154252725 |
| Phone Number: | 4123516545 |
| Fax Number: | 4122731958 |
| NPI Enumeration Date: | 03/18/2009 |
| NPI Last Update Date: | 03/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |