Provider Demographics
NPI:1598356305
Name:LINTISO HEALTHCARE SERVICES
Entity type:Organization
Organization Name:LINTISO HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOBELANDE
Authorized Official - Middle Name:ASSEFA
Authorized Official - Last Name:LINTISO
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:240-481-6519
Mailing Address - Street 1:2005 WAKEFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2108
Mailing Address - Country:US
Mailing Address - Phone:240-481-6519
Mailing Address - Fax:
Practice Address - Street 1:2005 WAKEFIELD CIR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2108
Practice Address - Country:US
Practice Address - Phone:240-481-6519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health