Organization
BASELINE AMBULANCE
Active
Organization
BASELINE AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFFER AMODEI (PRESIDENT)
(215) 464-5911
Entity
Organization
Contact information
Practice address
13440 DAMAR DR, R-16, PHILADELPHIA, PA 19116-1817
(215) 464-5911
Mailing address
13440 DAMAR DR, R-16, PHILADELPHIA, PA 19116-1817
(215) 464-5911
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
06002
PA
Other
Enumeration date
05/02/2006
Last updated
08/22/2020
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