Organization
LIFEGUARD AMBULANCE SERVICE OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROCHE (PRESIDENT)
(850) 473-6776
Entity
Organization
Contact information
Practice address
3340 OAKCLIFF RD, SUITE 118, DORAVILLE, GA 30340-2626
(850) 262-0154
(850) 473-0159
Mailing address
PO BOX 1482, GULF BREEZE, FL 32562-1482
(850) 262-0154
(850) 473-0159
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
044-23
GA
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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