# COMMUNITY ANGELS AMBULANCE

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

## Provider details

- **NPI number:** 1760512404
- **Authorized official:** MR. TERRY JOHNSON JR. (OWNER)
- **Authorized official phone:** (513) 242-8000

## Contact information

- **Practice address:** 11630 MORROCCO CT, CINCINNATI, OH 45240-2132
- **Practice address phone:** (513) 242-8000
- **Mailing address:** 837 HOLYOKE DR, 837 HOLYOKE, CINCINNATI, OH 45240-1860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 310252 | OH | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020