Organization
NEW LIFE HEALTH AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LOUIS KERSHNER (MANAGER)
(303) 859-2742
Entity
Organization
Contact information
Practice address
280 E STANDLEY ST, UKIAH, CA 95482-4414
(707) 466-0001
Mailing address
6650 GUNPARK DR, BOULDER, CO 80301-7002
(707) 466-0001
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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