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Organization
LIFEGUARD TRANSPORTATION SERVICE
Active
Organization
LIFEGUARD TRANSPORTATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROCHE (PRESIDENT)
(205) 380-2065
Entity
Organization
Contact information
Practice address
1165 ROBERT BLVD, SLIDELL, LA 70458-2013
(850) 262-0154
(850) 473-0159
Mailing address
PO BOX 1482, GULF BREEZE, FL 32562-1482
(850) 262-0154
(850) 473-0159
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
9110030
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1652431
—
LA
Enumeration date
01/23/2007
Last updated
10/03/2007
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