# LIFEGUARD TRANSPORTATION SERVICE

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

## Provider details

- **NPI number:** 1851445811
- **Authorized official:** MR. JOHN ROCHE (PRESIDENT)
- **Authorized official phone:** (205) 380-2065

## Contact information

- **Practice address:** 1165 ROBERT BLVD, SLIDELL, LA 70458-2013
- **Practice address phone:** (850) 262-0154
- **Practice address fax:** (850) 473-0159
- **Mailing address:** PO BOX 1482, GULF BREEZE, FL 32562-1482
- **Mailing address phone:** (850) 262-0154
- **Mailing address fax:** (850) 473-0159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 9110030 | LA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 10/03/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1652431 | — | LA |