Organization
LIFE-FORCE AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER C BURGESS NREMT-I85 (DIRECTOR)
(770) 693-8692
Entity
Organization
Contact information
Practice address
361 W MEMORIAL DR, DALLAS, GA 30132-4136
(770) 693-8692
(678) 401-5833
Mailing address
361 W MEMORIAL DR, DALLAS, GA 30132-4136
(770) 693-8692
(678) 401-5833
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
GA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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