Organization
LJH AMBULANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET HELTON (PRESIDENT, CEO)
(262) 658-4422
Entity
Organization
Contact information
Practice address
6329 28TH AVE, KENOSHA, WI 53143
(262) 658-4422
(262) 658-2774
Mailing address
PO BOX 1227, KENOSHA, WI 53141-1227
(262) 658-4422
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
60-01334
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41349900
—
WI
Enumeration date
01/11/2007
Last updated
02/16/2024
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