Organization Name: | FAMILY LIFELINE |
NPI Number: | 1245627330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY STRITE (PRESIDENT AND CEO) |
Mailing Address: | 2325 W Broad St Richmond |
State: | VA US |
Postal Code: | 232202009 |
Phone Number: | 8042495400 |
Fax Number: | 8042853701 |
NPI Enumeration Date: | 04/16/2015 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HCO15744 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |