LIFE LINE SUPPLY CO
Suppliers at Mockingbird Ln, Dallas, TX

License number
Texas 1000407
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: MR. FRANK NICHOLSON
Title: PRESIDENT
Phone: (214) 522-4351
Address
Address
1545 W Mockingbird Ln STE 1020, Dallas, TX 75235
National Provider ID: 1346639697
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LIFE LINE SUPPLY CO

Austin, TX  -  Dallas, TX

Doing business as:
Life Line Supply Co
Registration:
Jun 29, 2012
Addresses:
10900 Stonelake Blvd STE A-320, Austin, TX 78759 (Mailing)
4424 Vandelia St, Dallas, TX 75219
State ID:
0801619172
Business type:
Domestic For-Profit Corporation
PRESIDENT, Director, President:
Frank Nicholson (PRESIDENT, Director, President), 4424 Vandelia St, Dallas, TX 75219
Agent:
Frank R Nicholson Jr,4424 Vandelia St, Dallas, TX 75219 (Physical)
TIN:
32048401221

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