NPI 1558131722

Lifeline Diagnostic

Organisation Community Health Worker Meridian, MS

Practice location

Address: 2506 39th St APT 68, Meridian, MS 39305-3887
Phone: (601) 850-1012

Authorised official

Name: Wilmalean Michelle Black
Title: Owner
Phone: (601) 850-1012

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Mississippi →

Registry record

NPI: 1558131722
Entity type: Organization
NPI issued: 8 Jan 2024
Record last updated: 30 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.