| NPI | 1558395335 |
|---|---|
| Doing Business As | LIFELINE HEALTH CARE OF FAYETTE |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GACHASSIN Executive Vice President 337-233-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261QR1300X Clinic/Center, Rural Health | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-01-13 |