Organization
LIFE LINE MEDICAL TRANSPORT.,LLC
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOWLID DALMAR AWIL (CEO)
(614) 598-4177
Entity
Organization
Contact information
Practice address
2928 WESTERVILLE RD, COLUMBUS, OH 43224-4516
(614) 598-4177
(614) 414-6066
Mailing address
2928 WESTERVILLE RD, COLUMBUS, OH 43224-4516
(614) 598-4177
(614) 414-6066
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
259395
OH
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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