# LIFE-FORCE AMBULANCE, INC.

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

## Provider details

- **NPI number:** 1487957387
- **Authorized official:** MR. ROGER C BURGESS NREMT-I85 (DIRECTOR)
- **Authorized official phone:** (770) 693-8692

## Contact information

- **Practice address:** 361 W MEMORIAL DR, DALLAS, GA 30132-4136
- **Practice address phone:** (770) 693-8692
- **Practice address fax:** (678) 401-5833
- **Mailing address:** 361 W MEMORIAL DR, DALLAS, GA 30132-4136
- **Mailing address phone:** (770) 693-8692
- **Mailing address fax:** (678) 401-5833

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010