| Organization Name: | LIFELINE THERAPY WARRENDALE, LLC |
| NPI Number: | 1770579468 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER J BREHM (PRESIDENT/CEO) |
| Mailing Address: | 125 Warrendale Bayne Rd Suite 300 Warrendale |
| State: | PA US |
| Postal Code: | 150867570 |
| Phone Number: | 7249333280 |
| Fax Number: | 7249333288 |
| NPI Enumeration Date: | 09/27/2005 |
| NPI Last Update Date: | 03/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |