Organization
LIFECARE AMBULANCE OF MISSISSIPPI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J HERLIHY (CEO)
(847) 933-9348
Entity
Organization
Contact information
Practice address
10060 HIGHWAY 178, UNIT 600, OLIVE BRANCH, MS 38654-3271
(901) 372-0200
(901) 372-0170
Mailing address
3737 CHASE AVE, SKOKIE, IL 60076-4008
(847) 933-9348
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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