Healthcare Provider Details

I. General information

NPI: 1073785432
Provider Name (Legal Business Name): LIFE LINE 24
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 03/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 JAMAICA DR
AUGUSTA GA
30909-2617
US

IV. Provider business mailing address

3601 JAMAICA DR
AUGUSTA GA
30909-2617
US

V. Phone/Fax

Practice location:
  • Phone: 706-738-2437
  • Fax:
Mailing address:
  • Phone: 706-738-2437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateGA

VIII. Authorized Official

Name: CURTI ALMA
Title or Position: RN SUPERVISOR
Credential:
Phone: 706-738-2437