Provider Demographics
NPI:1295934198
Name:TRIANGLE LIFELINE
Entity type:Organization
Organization Name:TRIANGLE LIFELINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:WRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:9194-796-0550
Mailing Address - Street 1:PO BOX 15279
Mailing Address - Street 2:3414 N. DUKE ST. SUITE 400
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-0279
Mailing Address - Country:US
Mailing Address - Phone:919-479-6050
Mailing Address - Fax:919-477-5474
Practice Address - Street 1:3414 N DUKE ST
Practice Address - Street 2:SUITE 400
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2131
Practice Address - Country:US
Practice Address - Phone:919-479-6050
Practice Address - Fax:919-477-5474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment