| NPI | 1538036041 |
|---|---|
| Other Name | LIFELINE LEGACY LLC |
| Entity Type | Organization |
| Authorized Contact | KIA BULLOCK CEO 317-998-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-11-06 |