Organization
LIFECARE AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE KOGAN (PRESIDENT)
(215) 938-0707
Entity
Organization
Contact information
Practice address
157 TOMLINSON RD, HUNTINGDON VALLEY, PA 19006-4220
(215) 928-0707
Mailing address
PO BOX 51267, PHILADELPHIA, PA 19115-0267
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
10/24/2009
Last updated
10/24/2009
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