Organization
LIFE SUPPORT TEAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS L DURBIN EMT-P (PRESIDENT)
(419) 462-1346
Entity
Organization
Contact information
Practice address
363 MARION AVE, MANSFIELD, OH 44903-2064
(419) 462-1346
Mailing address
PO BOX 111, ONTARIO, OH 44862-0111
(419) 462-1346
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
10/25/2013
Last updated
03/23/2016
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