| Lifeline Management LLC | |
|
11456 Meadowbrook Dr Warren MI 48093-6554 | |
| (313) 739-7805 | |
| Not Available |
| Full Name | Lifeline Management LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 11456 Meadowbrook Dr, Warren, Michigan |
| Authorized Official Name and Position | Dawn Goble (OWNER) |
| Authorized Official Contact | 3137397805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Management LLC 11456 Meadowbrook Dr Warren MI 48093-6554 | Lifeline Management LLC 11456 Meadowbrook Dr Warren MI 48093-6554 Ph: (313) 739-7805 |
| NPI Number | 1730868498 |
|---|---|
| Provider Enumeration Date | 07/11/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730868498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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