| Lifeline Harbor Llc | |
|
2921 Marti Ln Suite 8-a Montgomery AL 36116-3120 | |
| (334) 523-1675 | |
| Not Available |
| Full Name | Lifeline Harbor Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2921 Marti Ln, Montgomery, Alabama |
| Authorized Official Name and Position | Annie Doris Carter (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3345231675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Harbor Llc 2921 Marti Ln Suite 8-a Montgomery AL 36116-3120 Ph: (334) 523-1675 | Lifeline Harbor Llc 2921 Marti Ln Suite 8-a Montgomery AL 36116-3120 Ph: (334) 523-1675 |
| NPI Number | 1649631565 |
|---|---|
| Provider Enumeration Date | 03/19/2016 |
| Last Update Date | 01/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649631565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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