Provider Demographics
NPI:1538895867
Name:A LIFELINE TRANSPORTATION SOLUTIONS
Entity type:Organization
Organization Name:A LIFELINE TRANSPORTATION SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTHCARE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:480-228-2895
Mailing Address - Street 1:40492 W JENNA LN
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-6322
Mailing Address - Country:US
Mailing Address - Phone:480-228-2895
Mailing Address - Fax:
Practice Address - Street 1:40492 W JENNA LN
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-6322
Practice Address - Country:US
Practice Address - Phone:480-228-2895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare