Provider Demographics
NPI:1356849012
Name:HEALTHLINE MANAGEMENT
Entity Type:Organization
Organization Name:HEALTHLINE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TISHA
Authorized Official - Middle Name:LORI
Authorized Official - Last Name:BREWER BATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:229-942-4454
Mailing Address - Street 1:310 PATTON DR
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31719-8243
Mailing Address - Country:US
Mailing Address - Phone:229-942-4454
Mailing Address - Fax:
Practice Address - Street 1:310 PATTON DR
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31719-8243
Practice Address - Country:US
Practice Address - Phone:229-942-4454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management