NPI 1750750733

Lifeline Incoporation

Organisation Adult Care Home Facility Hyattsville, MD

Practice location

Address: 4213 Oglethorpe St APT 4, Hyattsville, MD 20781-1540
Phone: (240) 898-6687

Authorised official

Name: Ouwakemi Agboto
Title: Hha
Phone: (301) 825-2189

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Maryland →

Registry record

NPI: 1750750733
Entity type: Organization
NPI issued: 18 Sep 2015
Record last updated: 18 Sep 2015

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.