Organization
LIFE ALLIANCE, INCORPORATED
Active
Organization
LIFE ALLIANCE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR HERNANDEZ (CO-OWNER/OFFICER)
(215) 617-2639
Entity
Organization
Contact information
Practice address
1946 E WESTMORELAND ST, PHILADELPHIA, PA 19134-2522
(215) 617-2639
Mailing address
5440 WESTFORD RD, PHILADELPHIA, PA 19120-2640
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
13013
PA
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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