LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC

INDEPENDENCE, OH
NPI1093118853
Entity TypeOrganization
Authorized ContactANDREW MANGANARO
Member
973-725-0003
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2014-10-07
Last Update Date2014-10-07
Business Address
LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC
6150 OAK TREE BLVD SUITE 200
INDEPENDENCE, OH 44131-6917
Phone number: 216-581-6556
Mailing Address
LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC
6150 OAK TREE BLVD SUITE 200
INDEPENDENCE, OH 44131-6917
Phone number: 216-581-6556
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