Organization
PURE LIFE AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUVIM KOLESNIKOVICH (OWNER)
(215) 789-8651
Entity
Organization
Contact information
Practice address
27 TOMLINSON RD, SUITE 103, HUNTINGDON VALLEY, PA 19006-4218
(215) 789-8651
Mailing address
27 TOMLINSON RD, SUITE 103, HUNTINGDON VALLEY, PA 19006-4218
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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