National Provider Identifier Database

LIFELINE OF FAIRFIELD
Customized Equipment


Contact Information

LIFELINE OF FAIRFIELD
350 COLUMBIA RD
WINNSBORO, SC29180
Phone: 803-633-2107
Fax: 803-635-6147
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X

* Indicates primary specialty

NPI Profile & details for LIFELINE OF FAIRFIELD

NPI Number 1477580959
Legal business name
LBN
LIFELINE OF FAIRFIELD
Authorized official DEBBIE BROOM - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/28/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: DE1346

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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