Organization
LIFE SUPPORT AMBULANCE OF MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD AUGUST (VICE PRESIDENT)
(732) 536-0515
Entity
Organization
Contact information
Practice address
50B US HIGHWAY 9, MORGANVILLE, NJ 07751-1526
(732) 536-0515
(888) 777-4799
Mailing address
PO BOX 220, MORGANVILLE, NJ 07751-0220
(732) 536-0515
(888) 777-4799
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
ZZ
3416A0800X
Air Ambulance
—
ZZ
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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