Provider Demographics
NPI:1881416873
Name:LIFELINE EQUIPMENT LLC
Entity type:Organization
Organization Name:LIFELINE EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRALIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-951-6530
Mailing Address - Street 1:14425 TORREY CHASE BLVD.
Mailing Address - Street 2:STE 345B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014
Mailing Address - Country:US
Mailing Address - Phone:972-951-6530
Mailing Address - Fax:
Practice Address - Street 1:14425 TORREY CHASE BLVD.
Practice Address - Street 2:STE 345B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014
Practice Address - Country:US
Practice Address - Phone:972-951-6530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies