Provider Demographics
NPI:1952177008
Name:LIFELINE RESOURCE GROUP INC
Entity type:Organization
Organization Name:LIFELINE RESOURCE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:TIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-252-8332
Mailing Address - Street 1:2925 RICHMOND AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3143
Mailing Address - Country:US
Mailing Address - Phone:713-252-8332
Mailing Address - Fax:
Practice Address - Street 1:2925 RICHMOND AVE STE 1200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3143
Practice Address - Country:US
Practice Address - Phone:713-252-8332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No174200000XOther Service ProvidersMeals
No251S00000XAgenciesCommunity/Behavioral Health
No347E00000XTransportation ServicesTransportation Broker