Organization
LIFE-FORCE AMBULANCE, INC
Active
Other names
LIFE-FORCE AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER CARROLL BURGESS (DIRECTOR OF OPERATIONS)
(770) 853-6453
Entity
Organization
Contact information
Practice address
301 W I PKWY, SUITE D, DALLAS, GA 30132-5066
(678) 363-3622
(678) 363-5929
Mailing address
301 W I PKWY, SUITE D, DALLAS, GA 30132-5066
(678) 363-3622
(678) 363-5929
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
GA
Other
Enumeration date
07/15/2010
Last updated
04/21/2011
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