# LIFE STAR EMS INC

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

## Provider details

- **NPI number:** 1477715688
- **Authorized official:** RAED SALEEM ABU ALREESH (OWNER)
- **Authorized official phone:** (404) 321-1999

## Contact information

- **Practice address:** 4047 HOLCOMB BRIDGE RD, NORCROSS, GA 30092-1879
- **Practice address phone:** (404) 321-1999
- **Mailing address:** 4047 HOLCOMB BRIDGE RD, NORCROSS, GA 30092-1879
- **Mailing address phone:** (404) 321-1999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 044-27 | GA | Yes |

## Other

- **Enumeration date:** 06/29/2008
- **Last updated:** 11/04/2008