Organization
LIFE LINE TRANSIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE WALLACE (MEMBER)
(215) 399-8996
Entity
Organization
Contact information
Practice address
66 ROCK HAVEN CT, READING, PA 19606-8942
(215) 399-8996
Mailing address
66 ROCK HAVEN CT, READING, PA 19606-8942
(215) 399-8996
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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