Provider Demographics
NPI:1255173001
Name:LIFELINE ALL AROUND CARE
Entity type:Organization
Organization Name:LIFELINE ALL AROUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALENA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:267-970-3662
Mailing Address - Street 1:44 S 14TH ST APT 7
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1195
Mailing Address - Country:US
Mailing Address - Phone:267-970-3662
Mailing Address - Fax:
Practice Address - Street 1:44 S 14TH ST APT 7
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1195
Practice Address - Country:US
Practice Address - Phone:267-970-3662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care