| NPI | 1376304238 |
|---|---|
| Doing Business As | LIFE LINE HOME HEALTH AGENCY |
| Entity Type | Organization |
| Authorized Contact | AVERY BUSH Administrator/Owner 469-274-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |