# HALL OF LIFE AMBULANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447906029
- **Authorized official:** YIMAR NIEVES SALAS (PRESIDENT)
- **Authorized official phone:** (787) 639-8932

## Contact information

- **Practice address:** URB VILLA ROSALES CALLE TROYER B15, AIBONITO, PR 00957
- **Practice address phone:** (787) 639-8932
- **Mailing address:** URB SANTA MONICA CALLE 14 S48, BAYAMON, PR 00956
- **Mailing address phone:** (787) 639-8932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 02/23/2022