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Organization
LIFELINE EMS LLC
Active
Organization
LIFELINE EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DONOVAN (CEO)
(870) 462-8003
Entity
Organization
Contact information
Practice address
146 DR. HERD E. STONE, HOLLY GROVE, AR 72069
(870) 462-8003
Mailing address
PO BOX 592, HOLLY GROVE, AR 72069-0592
(870) 462-8003
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
319
AR
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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