Organization
LIFE ALERT AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PERDIGAO (OWNER)
(215) 850-0590
Entity
Organization
Contact information
Practice address
2840 PINE ROAD, UNIT B1, HUNTINGDON VALLEY, PA 19006-4242
(215) 850-0590
(267) 200-0501
Mailing address
2840 PINE ROAD, UNIT B1, HUNTINGDON VALLEY, PA 19006-4242
(215) 850-0590
(267) 200-0501
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
11016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026036150001
—
PA
01
—
217819
MEDICARE PTAN
PA
Enumeration date
02/20/2011
Last updated
08/20/2016
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