Organization
ADVANCED LIFELINE SERVICES
Active
Organization
ADVANCED LIFELINE SERVICES
Active
Other names
ALS, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HINSON (PRESIDENT)
(502) 426-1958
Entity
Organization
Contact information
Practice address
3919 S 19TH ST, TACOMA, WA 98405-1414
(253) 752-5677
(253) 756-8936
Mailing address
9400 WILLIAMSBURG PLZ, SUITE 200, LOUISVILLE, KY 40222-5093
(502) 426-1958
(502) 426-2337
Taxonomy
Speciality
Code
Description
License number
State
2278S1500X
SNF/Subacute Care Certified Respiratory Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9063397
—
WA
Enumeration date
03/12/2010
Last updated
03/15/2010
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