| Lifeline To Freedom, Llc | |
|
1371 Rose Ave Side Entrance Burlington CO 80807-1601 | |
| (719) 497-9219 | |
| (719) 960-2813 |
| Full Name | Lifeline To Freedom, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1371 Rose Ave Side Entrance, Burlington, Colorado |
| Authorized Official Name and Position | Jennifer Lynn Higgins (OWNER) |
| Authorized Official Contact | 7194979219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline To Freedom, Llc Po Box 32 Idalia CO 80735-0032 Ph: (719) 497-9219 | Lifeline To Freedom, Llc 1371 Rose Ave Side Entrance Burlington CO 80807-1601 Ph: (719) 497-9219 |
| NPI Number | 1992328454 |
|---|---|
| Provider Enumeration Date | 05/19/2020 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992328454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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